Most Relevant Information
Provider Data
| NPI Number: | 1003314386 |
| Provider Name: | JACQUELINE ALYCIA ANDERSON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA60817341 |
Most Important Dates
| Enumeration Date: | 02/01/2018 |
| Last Updated: | 02/01/2018 |
Provider Practice Location
100 N MULLAN RD
SPOKANE VALLEY
WA
992066859
Practice Location Phone/Fax
| Phone: | 5097772225 |
| Fax: |
Provider Mailing Location
100 N MULLAN RD
SPOKANE VALLEY
WA
992066859
Provider Mailing Phone/Fax
| Phone: | 5097772225 |
| Fax: |