MS. SANDRA KAY WALLER LMT NPI 1144404807

NPI Information

  • NPI: 1144404807
  • Provider Name: MS. SANDRA KAY WALLER, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1714 W 23RD STREET
    SUITE E
    PANAMA CITY, FL
    ZIP 32405
  • Phone: (850) 276-1932

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NPI Details

MS. Sandra Kay Waller, LMT is a massage therapist in Panama City, FL. 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. MS. Sandra Kay Waller, LMT NPI is 1144404807. 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:

1714 W 23RD STREET
SUITE E
PANAMA CITY, FL
ZIP 32405-003
Phone: (850) 276-1932
Fax: (850) 769-8689

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.

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
1225700000XMassage TherapistMA36353FLORIDAYes

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: 3/30/2025

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