Provider Demographics
NPI:1316579600
Name:SHEETS, YEKATERINA (LYMPHATIC THERAPIST)
Entity Type:Individual
Prefix:
First Name:YEKATERINA
Middle Name:
Last Name:SHEETS
Suffix:
Gender:F
Credentials:LYMPHATIC THERAPIST
Other - Prefix:
Other - First Name:KATYA
Other - Middle Name:
Other - Last Name:SHEETS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KATYA SHEETS
Mailing Address - Street 1:133 E DE LA GUERRA ST # 317
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2228
Mailing Address - Country:US
Mailing Address - Phone:805-766-4235
Mailing Address - Fax:
Practice Address - Street 1:1900 STATE ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8421
Practice Address - Country:US
Practice Address - Phone:805-766-4235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46772225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist