Individual provider · Type 1 NPI

Sandra J. Wise, LMT

Massage Therapist · Cochiti Lake, NM

NPI number 1881997740 Active

Practice location

6500 Hoochaneetsa Blvd
Cochiti Lake, NM 87083-6030

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6769 (NM)

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 1881997740

Sandra J. Wise, LMT's National Provider Identifier is 1881997740, issued on Dec 15, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cochiti Lake, NM. The record was last updated on Dec 15, 2010.