DR. SANDIA MARIE WALLER NPI 1902386741

NPI Information

NPI: 1902386741
Provider Name: DR. SANDIA MARIE WALLER
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
168 N SAGINAW ST STE B
LAPEER, MI
ZIP 48446
Phone: (810) 969-4999
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DR. Sandia Marie Waller is a massage therapist in Lapeer, MI. The provider is 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. DR. Sandia Marie Waller NPI is 1902386741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

168 N SAGINAW ST STE B
LAPEER, MI
ZIP 48446-613
Phone: (810) 969-4999

The enumeration date for this NPI number is 8/21/2018 and was last updated on 8/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133V00000X	Dietitian, Registered		0450	SOUTH DAKOTA	No
2	225700000X	Massage Therapist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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