Individual provider · Type 1 NPI
Sandra Kathleen Sample, LMT
Massage Therapist · Boulder, MT
NPI number
1992137681
Active
Practice location
207 N Main St
Boulder, MT 59632-7761
Mailing address
207 N Main Street, PO Box 793
Boulder, MT 59632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LMT-LMT-LIC-4719 (MT) |
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 1992137681
Sandra Kathleen Sample, LMT's National Provider Identifier is 1992137681, issued on Aug 5, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, MT. The record was last updated on Jul 1, 2026.