MR. Andrew Justin Anderson, LMT, PTA

NPI #1346047875 in Logan, Utah

Provider Information

NPI Number: 1346047875
Entity Type: Individual
Name: MR. Andrew Justin Anderson, LMT, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, PTA
Enumeration Date: Mar 3, 2025
Last Updated: Nov 6, 2025

Practice Location

Address: 67 E 100 N
City: Logan
State: Utah
ZIP Code: 84321-4624
Phone: (435) 512-5256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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