DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SANDRA P. SMITH, MASSAGE THERAPIST

Active Sole Proprietor

MRS. SANDRA P. SMITH, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in LANNON, Wisconsin. NPI 1184860256 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LANNON, WI

Registration Details

NPI Number
1184860256
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2008 (17.611262466317 yrs)
Last Updated
Dec 19, 2008
License
731-046 (WI)
Sole Proprietor
Yes

Practice Information

Address
20079 WEST MAIN STREET
SUITE B
LANNON, WI, 53046
Browse WI providers · Browse ZIP 53046
Phone
2625024051
Fax
2625024053
Primary Specialty
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.