Doctor Name: | MS. CHRISTINE SANDOVAL |
NPI Number: | 1629216205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 2664 |
Business Practice Address: | 628 N Riverside Dr Ste C Espanola, NM - 875322620 |
Business Phone Number: | 5057535855 |
Business Fax Number: | |
Mailing Address: | Po Box 902, SANTA CRUZ |
State: | NM |
Postal Code: | 875670902 |
Phone Number: | 5057535855 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 01/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |