Individual
LISA K ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17263 NORTHWOODS BLVD, TRUCKEE, CA 96161-6050
(530) 563-8182
Mailing address
17263 NORTHWOODS BLVD, TRUCKEE, CA 96161-6050
(530) 563-8182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6630
CA
Other
Enumeration date
10/28/2006
Last updated
03/19/2014
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