Individual
CHERYL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2301 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-7976
(337) 602-6959
Mailing address
PO BOX 528, OBERLIN, LA 70655-0528
(318) 491-1314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8901
LA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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