Individual
SANDRA LEE HUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT CNMT
Contact information
Practice address
3939 SAN PEDRO DR NE, SUITE C5, ALBUQUERQUE, NM 87110-8900
(505) 304-2279
(505) 891-8637
Mailing address
1044 SANDIA VISTA RD NE, RIO RANCHO, NM 87144-5160
(505) 304-2279
(505) 891-8637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2815
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92071
PRESBYTERIAN HEALTH PLAN
NM
01
—
RD098
BCBS BLUE CROSS BLUE SHIE
NM
Enumeration date
08/31/2006
Last updated
03/06/2009
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