Sandra Marie Hewitt

NPI #1710552872 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1710552872
Entity Type: Individual
Name: Sandra Marie Hewitt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 21, 2021
Last Updated: May 21, 2021

Practice Location

Address: 610 A-2 WEST AVE
City: Rice Lake
State: Wisconsin
ZIP Code: 54868
Phone: (715) 296-7467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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