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Mrs. Sandra P. Smith, MASSAGETHERAPIST
Massage Therapist in Lannon, Wisconsin
NPI 1184860256

Sandra P. Smith is a Massage Therapist based in Lannon, WI. Sandra P. Smith practices in Lannon, WI and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Sandra P. Smith is 1184860256 and holds a License No. 731-046 (Wisconsin).

The current practice location address for Sandra P. Smith is 20079 West Main Street, Lannon, WI and can be reached out via phone at 262-502-4051 and via fax at 262-502-4053.

Location: 20079 West Main Street, Lannon, WI, 53046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184860256
Provider Name
Sandra P. Smith
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
20079 West Main Street, Lannon, WI, 53046
Phone Number
262-502-4051
Fax Number
262-502-4053
Provider Enumeration Date
12/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20079 West Main Street
City
Lannon
State
Wisconsin
Zip
53046
Phone Number
262-502-4051
Fax Number
262-502-4053
person
Provider Business Mailing Address Details
Address
20079 West Main Street
City
Lannon
State
Wisconsin
Zip
53046
Phone Number
262-502-4051
Fax Number
262-502-4053
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
731-046 (Wisconsin)
Definition
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.
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