Mrs Sandra P Smith, MASSAGE THERAPIST is a
Massage Therapist based in Lannon, Wisconsin. Mrs Sandra P Smith is licensed to practice in Wisconsin (license number 731-046) and her current practice location is
20079 West Main Street, Suite B, Lannon, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 502-4051.
NPI number for Mrs Sandra P Smith is 1184860256 and her current mailing address is P.o. Box 264, 20079 West Main Street Suite B, Lannon, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184860256.
Healthcare Provider's Profile
| Full Name | Mrs Sandra P Smith |
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| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 20079 West Main Street, Lannon, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184860256
- Provider Enumeration Date: 12/19/2008
- Last Update Date: 12/19/2008
Medical Identifiers
Medical identifiers for Mrs Sandra P Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184860256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 731-046 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sandra P Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Sandra P Smith, MASSAGE THERAPIST
P.o. Box 264, 20079 West Main Street Suite B,
Lannon, WI 53046
Ph: (262) 502-4051 | Mrs Sandra P Smith, MASSAGE THERAPIST
20079 West Main Street, Suite B,
Lannon, WI 53046
Ph: (262) 502-4051 |
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