Mike Anderson JR.

NPI #1699662395 in Elkridge, Maryland

Provider Information

NPI Number: 1699662395
Entity Type: Individual
Name: Mike Anderson JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jun 23, 2025
Last Updated: Jun 23, 2025

Practice Location

Address: 7608 HEARTHSIDE WAY UNIT 2027
City: Elkridge
State: Maryland
ZIP Code: 21075-7609
Phone: (240) 644-7792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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