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NPI Code Detail

MEDICARE: MISS KAITI SUE ANDERSON LMT,CMLDT

MEDICARE: MISS KAITI SUE ANDERSON LMT,CMLDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT142497TX

General Provider Information

NPI Number : 1184553521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KAITI SUE ANDERSON LMT,CMLDT
Provider Business Mailing Address
First Line : 300 BEARDSLEY LN BLDG E
Second Line :
City : AUSTIN
State : TX
Zip : 78746-4954
Country : US
Telephone Number : 512-328-4041
Fax Number :
Provider Business Practice Location Address
First Line : 300 BEARDSLEY LN BLDG E
Second Line :
City : AUSTIN
State : TX
Zip : 78746-4954
Country : US
Telephone Number : 512-328-4041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ MISS KAITI SUE ANDERSON LMT,CMLDT” Practice Location

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