Individual
REBECCA LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
730 W USTICK RD, MERIDIAN, ID 83646-5941
(208) 971-5397
Mailing address
1495 S TECH LN APT A203, MERIDIAN, ID 83642-8209
(208) 971-5397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3441
ID
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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