Connie Miller Sandifer, COTA/L, LMT
Massage Therapist in West Columbia, SC. Individual provider (NPI-1).
NPI number1104900331
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1104900331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Connie Miller Sandifer
- Credential
- COTA/L, LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAS . 3908 | SC | Yes |
| 224Z00000X | Occupational Therapy Assistant | 1931 | SC |
Practice location
2993 Sunset BlvdWest Columbia, SC 29169-3421
Phone 803-939-0026
Mailing address
1057 Hilton Point RdChapin, SC 29036-9792
Phone 803-345-8819
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All 10 Massage Therapist providers in West Columbia · All 2,417 providers in West Columbia
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