Doctor Name: | ADAM SANCHEZ |
NPI Number: | 1235549742 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T, C.M.T |
License Number: | MAS-324 |
Business Practice Address: | 2232 W Main St Boise, ID - 837024917 |
Business Phone Number: | 2082469753 |
Business Fax Number: | |
Mailing Address: | 3101 S Apple St, Apt 101 BOISE |
State: | ID |
Postal Code: | 837066827 |
Phone Number: | 2082469753 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2014 |
NPI Last Update Date: | 05/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MAS-324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |