NPI 1396287629

Carrie Lynn Anderson, LMT

Practitioner Massage Therapist Grand Forks, ND

Practice location

Address: 1726 S Washington St STE 79, Grand Forks, ND 58201-6370
Phone: (701) 738-0990
Mailing address: 1395 S Columbia Rd Suite A, Box 245, Grand Forks, ND 58201-4054

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1602 (ND)

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Registry record

NPI: 1396287629
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2016
Record last updated: 17 Mar 2018

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.