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NPI Code Detail

MEDICARE: SANDRA J HAVLENA LMT

MEDICARE:   SANDRA J HAVLENA  LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist33.023525OH

General Provider Information

NPI Number : 1760316921
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA J HAVLENA LMT
Provider Business Mailing Address
First Line : 34580 SHERWOOD DR
Second Line :
City : SOLON
State : OH
Zip : 44139-1749
Country : US
Telephone Number : 330-212-2384
Fax Number :
Provider Business Practice Location Address
First Line : 34580 SHERWOOD DR
Second Line :
City : SOLON
State : OH
Zip : 44139-1749
Country : US
Telephone Number : 330-212-2384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ SANDRA J HAVLENA LMT” Practice Location

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