SANDRA LEE GLIDDEN NPI 1205507480

NPI Information

NPI: 1205507480
Provider Name: SANDRA LEE GLIDDEN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
141 W PIONEER AVE
HOMER, AK
ZIP 99603
Phone: (907) 235-7146
Get Directions

Sandra Lee Glidden is a massage therapist in Homer, AK. 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. Sandra Lee Glidden NPI is 1205507480. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

141 W PIONEER AVE
HOMER, AK
ZIP 99603-525
Phone: (907) 235-7146
Fax: (907) 235-7186

The enumeration date for this NPI number is 9/27/2021 and was last updated on 9/27/2021.

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	225700000X	Massage Therapist		102493	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0220653	OTHER	ALASKA	AKDL

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: 11/14/2023

NPI Synchronization or Removal

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