National Provider Identifier
Sandra M Macgowan, LMT
Sandra M Macgowan, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Fairport, NY and a listed phone number of (585) 729-7072.
Profile Overview
- NPI
- 1033558424
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- June 18, 2013
- Last Updated
- July 03, 2014
Practice Location
- 221 Ayrault RD
- Fairport, NY 14450-2855
Phone: (585) 729-7072
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1033558424
- Entity Type
- Individual
- Last Name
- Macgowan
- First Name
- Sandra
- Middle Name
- M
- Name Prefix
- Mrs.
- Credential
- LMT
- Mailing Street Address
- 221 Ayrault RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-2855
- Mailing Country
- US
- Mailing Phone
- (585) 729-7072
- Practice Street Address
- 221 Ayrault RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2855
- Practice Country
- US
- Practice Phone
- (585) 729-7072
- Enumeration Date
- June 18, 2013
- Last Updated
- July 03, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)