Wise, Sandra J

Wise, Sandra J is an sole proprietor health care provider with primary practice located at 6500 Hoochaneetsa Blvd , Cochiti Lake NM 87083-6030. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wise, Sandra J can be contacted via phone (505) 465-0241.

Contact Information

Primary practice address
6500 Hoochaneetsa Blvd Cochiti Lake NM 87083-6030
Phone: (505) 465-0241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 6769 New Mexico

Profile Details

NPI number 1881997740
LBN Legal business name Wise, Sandra J
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2010
Last updated Dec 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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