Individual provider · Type 1 NPI

Sandra Lee Tate, L.M.T.

Massage Therapist · Mannington, WV

NPI number 1407167349 Active

Practice location

203 Market St
Mannington, WV 26582-1132

Call (304) 986-1008 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2010-2672 (WV)

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 1407167349

Sandra Lee Tate, L.M.T.'s National Provider Identifier is 1407167349, issued on Jun 25, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mannington, WV. The record was last updated on Jun 25, 2010.