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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6769 (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.