Provider Demographics
NPI:1225756323
Name:PASQUILL, ALEXANDRINE (LMT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRINE
Middle Name:
Last Name:PASQUILL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:
Other - Last Name:PASQUILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:ARROYO SECO
Mailing Address - State:NM
Mailing Address - Zip Code:87514-0295
Mailing Address - Country:US
Mailing Address - Phone:512-791-3118
Mailing Address - Fax:
Practice Address - Street 1:24 LAS ANIMAS
Practice Address - Street 2:
Practice Address - City:ARROYO SECO
Practice Address - State:NM
Practice Address - Zip Code:87514
Practice Address - Country:US
Practice Address - Phone:512-791-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMT9548225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist