Individual
MR. ANDREW JUSTIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, PTA
Contact information
Practice address
67 E 100 N, LOGAN, UT 84321-4624
(435) 512-5256
Mailing address
92 N CENTER, NEWTON, UT 84327-0103
(435) 512-5256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9634705
UT
Other
Enumeration date
03/03/2025
Last updated
11/06/2025
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