Individual
CHALIS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3001 W 10TH AVE STE A101, KENNEWICK, WA 99336-5014
(509) 737-9355
Mailing address
1018 WRIGHT AVE, RICHLAND, WA 99354-3060
(509) 737-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
WA60583714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA60583714
STATE LICENSE
WA
Enumeration date
06/27/2016
Last updated
06/27/2016
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