Individual
JAZMINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
719 3RD AVE, COLUMBUS, GA 31901-2956
(706) 221-0022
Mailing address
719 3RD AVE, COLUMBUS, GA 31901-2956
(706) 221-0022
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008588
GA
Other
Enumeration date
12/05/2023
Last updated
12/08/2023
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