IndividualActive
Andrew Anderson, LMT, PTA
NPI 1346047875 · Massage Therapist · Logan, UT
Provider details
- NPI number
- 1346047875
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9634705 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
67 E 100 N
Logan, UT 84321-4624
Phone: (435) 512-5256
Approximate (ZIP-level) locationGet directions
Mailing address
92 N Center
Newton, UT 84327-0103
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.