Active NPIIndividual provider

Mrs. Sandra L Broussard

Massage Therapist in Manchester, New Hampshire

NPI Number1427689496
Practice location
1850 Elm St, Manchester, NH 03104-2911
Fax
—
Last updated
January 29, 2020

Sandra Lee Broussard is a Massage Therapist based in Manchester, NH. Sandra Lee Broussard practices in Manchester, NH. The NPI Number for Sandra Lee Broussard is 1427689496 and holds a License No. 1729 (NH). The current practice location address for Sandra Lee Broussard is 1850 Elm St, Manchester, NH 03104-2911 and can be reached out via phone at 603-641-4800.

Provider Profile Details

NPI Number
1427689496
Provider Name
Sandra Lee Broussard
Provider Entity Type
Individual
Gender
Female
Address
1850 Elm St, Manchester, NH 03104-2911
Phone Number
603-641-4800
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Provider Enumeration Date
January 29, 2020
Last Update Date
January 29, 2020
Certification Date
January 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1850 Elm St
Manchester, NH 03104-2911
Zip
03104-2911
Phone Number
603-641-4800
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
1850 Elm St
Manchester, NH 03104-2911
City
Manchester
State
NH
Zip
03104-2911
Phone Number
603-641-4800

License Information

License Number
1729
License State
NH
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Sandra L Broussard?

The NPI number of Mrs. Sandra L Broussard is 1427689496. It was assigned on January 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sandra L Broussard?

Mrs. Sandra L Broussard is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NH under license number 1729.

Where does Mrs. Sandra L Broussard practice?

The practice location is 1850 Elm St, Manchester, NH 03104-2911. The office can be reached at 603-641-4800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427689496 directly on the NPPES registry website.

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