Individual provider · Type 1 NPI

Connie Miller Sandifer, COTA/L, LMT

Massage Therapist · West Columbia, SC

NPI number 1104900331 Active

Practice location

2993 Sunset Blvd
West Columbia, SC 29169-3421

Call (803) 939-0026 Map

Mailing address

1057 Hilton Point Rd
Chapin, SC 29036-9792

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X1931 (SC)
Massage Therapist Primary 225700000XMAS . 3908 (SC)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1104900331

Connie Miller Sandifer, COTA/L, LMT's National Provider Identifier is 1104900331, issued on Oct 24, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Columbia, SC. The record was last updated on Sep 11, 2025.