Provider Demographics
NPI:1174664437
Name:ANDREWS, ANNE M (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:22610 NW 102ND AVE
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-7816
Mailing Address - Country:US
Mailing Address - Phone:386-462-9648
Mailing Address - Fax:
Practice Address - Street 1:13700 US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615
Practice Address - Country:US
Practice Address - Phone:386-418-3869
Practice Address - Fax:386-418-3810
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA38362225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA38362OtherMASSAGE THERAPIST