Healthcare Provider Details

I. General information

NPI: 1457276826
Provider Name (Legal Business Name): PHOEBE ANDERSON MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 MAIN ST STE 14C
FERNDALE WA
98248-9472
US

IV. Provider business mailing address

1415 IRON ST
BELLINGHAM WA
98225-4939
US

V. Phone/Fax

Practice location:
  • Phone: 360-366-8398
  • Fax: 360-922-6101
Mailing address:
  • Phone: 360-630-1259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA.70151244
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: