Individual provider · Type 1 NPI
Sandra P. Smith, MASSAGE THERAPIST
Massage Therapist · Lannon, WI
NPI number
1184860256
Active
Practice location
20079 West Main Street, Suite B
Lannon, WI 53046
Fax (262) 502-4053
Mailing address
P.o. Box 264, 20079 West Main Street Suite B
Lannon, WI 53046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 731-046 (WI) |
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.
About NPI 1184860256
Sandra P. Smith, MASSAGE THERAPIST's National Provider Identifier is 1184860256, issued on Dec 19, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lannon, WI. The record was last updated on Dec 19, 2008.