Sandra J Wise, LMT is a
Massage Therapist based in Cochiti Lake, New Mexico. Sandra J Wise is licensed to practice in New Mexico (license number 6769) and her current practice location is
6500 Hoochaneetsa Blvd, Cochiti Lake, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 465-0241.
NPI number for Sandra J Wise is 1881997740 and her current mailing address is 6500 Hoochaneetsa Blvd, Cochiti Lake, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881997740.
Healthcare Provider's Profile
Full Name | Sandra J Wise |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 6500 Hoochaneetsa Blvd, Cochiti Lake, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881997740
- Provider Enumeration Date: 12/15/2010
- Last Update Date: 12/15/2010
Medical Identifiers
Medical identifiers for Sandra J Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881997740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 6769 (New Mexico) | 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. Sandra J Wise 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 |
Sandra J Wise, LMT 6500 Hoochaneetsa Blvd, Cochiti Lake, NM 87083-6030 Ph: (505) 465-0241 | Sandra J Wise, LMT 6500 Hoochaneetsa Blvd, Cochiti Lake, NM 87083-6030 Ph: (505) 465-0241 |
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