Healthcare Provider Details

I. General information

NPI: 1326464736
Provider Name (Legal Business Name): SONYA FRANCIS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RAILROAD AVE
HARRISBURG SD
57032
US

IV. Provider business mailing address

PO BOX 88627
SIOUX FALLS SD
57109-8627
US

V. Phone/Fax

Practice location:
  • Phone: 605-201-8714
  • Fax:
Mailing address:
  • Phone: 605-201-8714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1251
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: