Sandra J Wise, LMT
NPI #1881997740 in Cochiti Lake, New Mexico
Provider Information
- NPI Number
- 1881997740
- Entity Type
- Individual
- Name
- Sandra J Wise, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Dec 15, 2010
- Last Updated
- Dec 15, 2010
Practice Location
- Address
- 6500 HOOCHANEETSA BLVD
- City
- Cochiti Lake
- State
- New Mexico
- ZIP Code
- 87083-6030
- Phone
- (505) 465-0241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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