Individual
CHARLOTTE RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
584 N COLLEGE ST, HARRODSBURG, KY 40330-2401
(859) 734-9992
(859) 734-9929
Mailing address
190 DAISY ST # A, HARRODSBURG, KY 40330-8687
(859) 325-0247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY1270
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43354200
NCBTMB
KY
Enumeration date
02/01/2007
Last updated
07/08/2007
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