Sandra Kathleen Sample, LMT is a
Massage Therapist based in Boulder, Montana. Sandra Kathleen Sample is licensed to practice in Montana (license number LMT-LMT-LIC-4719) and her current practice location is
207 N Main St, Boulder, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 560-2164.
NPI number for Sandra Kathleen Sample is 1992137681 and her current mailing address is 207 N Main Street, Po Box 793, Boulder, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992137681.
Healthcare Provider's Profile
| Full Name | Sandra Kathleen Sample |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 207 N Main St, Boulder, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992137681
- Provider Enumeration Date: 08/05/2013
- Last Update Date: 07/01/2026
Medical Identifiers
Medical identifiers for Sandra Kathleen Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992137681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | LMT-LMT-LIC-4719 (Montana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Kathleen Sample is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sandra Kathleen Sample, LMT 207 N Main Street, Po Box 793, Boulder, MT 59632 Ph: (406) 560-2164 | Sandra Kathleen Sample, LMT 207 N Main St, Boulder, MT 59632-7761 Ph: (406) 560-2164 |
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