Individual
MS. CARRIE LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1726 S WASHINGTON ST STE 79, GRAND FORKS, ND 58201-6370
(701) 738-0990
Mailing address
1395 S COLUMBIA RD, SUITE A, BOX 245, GRAND FORKS, ND 58201-4054
(701) 330-9359
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1602
ND
Other
Enumeration date
11/17/2016
Last updated
03/17/2018
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