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NPI Code Detail

MEDICARE: LATOSHA ANDERSON LMT

MEDICARE: LATOSHA ANDERSON LMT
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 Therapist

General Provider Information

NPI Number : 1508427501
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATOSHA ANDERSON LMT
Provider Business Mailing Address
First Line : 2527 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3322
Country : US
Telephone Number : 614-279-2525
Fax Number :
Provider Business Practice Location Address
First Line : 2527 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3322
Country : US
Telephone Number : 614-279-2525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2019
Last Update Date : 06/21/2019

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Directions to “ LATOSHA ANDERSON LMT” Practice Location

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