Provider Demographics
NPI:1326468000
Name:SANCHEZ, KATALLY (DC, BS)
Entity Type:Individual
Prefix:DR
First Name:KATALLY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 LONG POINT RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8328
Mailing Address - Country:US
Mailing Address - Phone:843-352-9966
Mailing Address - Fax:
Practice Address - Street 1:757 LONG POINT RD
Practice Address - Street 2:SUITE C
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8328
Practice Address - Country:US
Practice Address - Phone:843-352-9966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor