NPI 1063582856

Sandra Kay Anderson, LMT

Practitioner Massage Therapist Waterloo, IA

Practice location

Address: 3510 Kimball Ave Suite B, Waterloo, IA 50702-5760
Phone: (319) 236-2737
Mailing address: 1709 Parker St, Cedar Falls, IA 50613-4628

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 02713 (IA)

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Registry record

NPI: 1063582856
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.