Individual
MARIE C ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3157 SKINNER DR, ANTIOCH, TN 37013-3965
(615) 480-6999
Mailing address
3157 SKINNER DR, ANTIOCH, TN 37013-3965
(615) 480-6999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11476
TN
225700000X
Massage Therapist
11476
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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