Individual
JORDAN MARISSA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP, NMT
Contact information
Practice address
2620 N CENTER ST STE 103A, BONHAM, TX 75418-2149
(469) 631-3596
Mailing address
2620 N CENTER ST STE 103A, BONHAM, TX 75418-2149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT126094
TX
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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