Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim G Anderson, LMT

Individual provider Massage Therapist · NPI 1023206760

Kim G Anderson, LMT is a Massage Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

304 Ponce Blvd Ste 1
Jacksonville, FL 32218-3863
Phone: (904) 504-4563
Fax: (904) 751-3906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA30630 (FL)

Record details

NPI number1023206760
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 9, 2007
Last updated in NPPESOctober 9, 2007

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