Provider Demographics
NPI:1487036406
Name:SANCHEZ, BELINDA ROCHELLE (LMT)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:ROCHELLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-8982
Mailing Address - Country:US
Mailing Address - Phone:304-647-3695
Mailing Address - Fax:
Practice Address - Street 1:540 N JEFFERSON ST
Practice Address - Street 2:SUITE H
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-8982
Practice Address - Country:US
Practice Address - Phone:304-647-3695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2012-3061225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist