Jordan Marissa Anderson, LMT, MMP, NMT is a
Massage Therapist based in Bonham, Texas. Jordan Marissa Anderson is licensed to practice in Texas (license number MT126094) and her current practice location is
2620 N Center St Ste 103a, Bonham, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 631-3596.
NPI number for Jordan Marissa Anderson is 1962115444 and her current mailing address is 2620 N Center St Ste 103a, Bonham, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962115444.
Healthcare Provider's Profile
Full Name | Jordan Marissa Anderson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 2620 N Center St Ste 103a, Bonham, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962115444
- Provider Enumeration Date: 12/29/2022
- Last Update Date: 12/29/2022
Medical Identifiers
Medical identifiers for Jordan Marissa Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962115444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT126094 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Marissa Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan Marissa Anderson, LMT, MMP, NMT 2620 N Center St Ste 103a, Bonham, TX 75418-2149 Ph: () - | Jordan Marissa Anderson, LMT, MMP, NMT 2620 N Center St Ste 103a, Bonham, TX 75418-2149 Ph: (469) 631-3596 |
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