Provider Demographics
NPI:1477706562
Name:SANCHEZ, KRISTAL (LMT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTAL
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:PALIZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2611 N STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-4670
Mailing Address - Country:US
Mailing Address - Phone:253-759-1500
Mailing Address - Fax:253-759-4172
Practice Address - Street 1:2611 N STEVENS ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-4670
Practice Address - Country:US
Practice Address - Phone:253-759-1500
Practice Address - Fax:253-759-4172
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10964225700000X
WAMA 60236002225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist