Individual provider · Type 1 NPI

Sandra Kay Waller, LMT

Massage Therapist · Panama City, FL

NPI number 1144404807 Active

Practice location

1714 W 23rd Street, Suite E
Panama City, FL 32405-2003

Call (850) 276-1932 Map

Fax (850) 769-8689

Mailing address

2143 W 29th Street
Panama City, FL 32405-2003

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA36353 (FL)

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 1144404807

Sandra Kay Waller, LMT's National Provider Identifier is 1144404807, issued on Dec 18, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Panama City, FL. The record was last updated on Dec 18, 2007.