| Sandie Lee Kisting, | |
|
1045 N Bristol St, Sun Prairie, WI 53590-1444 | |
| (608) 354-9568 | |
| Not Available |
| Full Name | Sandie Lee Kisting |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1045 N Bristol St, Sun Prairie, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912596057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 11024-146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sandie Lee Kisting, 1045 N Bristol St, Sun Prairie, WI 53590-1444 Ph: (608) 354-9568 | Sandie Lee Kisting, 1045 N Bristol St, Sun Prairie, WI 53590-1444 Ph: (608) 354-9568 |
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