Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA J WISE, LMT
Active Sole ProprietorSANDRA J WISE, LMT is a Massage Therapist healthcare provider located in COCHITI LAKE, New Mexico. NPI 1881997740 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · COCHITI LAKE, NM
Registration Details
- NPI Number
- 1881997740
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2010 (15.69359421953 yrs)
- Last Updated
- Dec 15, 2010
- License
-
6769 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6500 HOOCHANEETSA BLVDCOCHITI LAKE, NM, 870836030Browse NM providers · Browse ZIP 87083
- Phone
- 5054650241
- 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.