IndividualActive
Tina Anderson, LMP
NPI 1063739167 · Massage Therapist · Winlock, WA
Provider details
- NPI number
- 1063739167
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA60126580 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
346 Russell Rd
Winlock, WA 98596-9522
Phone: (360) 785-4316
Approximate (ZIP-level) locationGet directions
Mailing address
346 Russell Rd
Winlock, WA 98596-9522
Registry dates
- Enumerated
- 2010-04-28
- Last updated
- 2010-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.