Provider Demographics
NPI:1710226550
Name:PLOTNICK, SOMMER LEIGH (LMT)
Entity Type:Individual
Prefix:MRS
First Name:SOMMER
Middle Name:LEIGH
Last Name:PLOTNICK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SOMMER
Other - Middle Name:
Other - Last Name:BLENDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:15 MESA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-7639
Mailing Address - Country:US
Mailing Address - Phone:702-533-2686
Mailing Address - Fax:
Practice Address - Street 1:15 MESA VISTA DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-7639
Practice Address - Country:US
Practice Address - Phone:702-533-2686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29779225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist