Provider Demographics
NPI:1598066201
Name:SANCHEZ, ISRAEL A (LMP, CSCS, RTS)
Entity Type:Individual
Prefix:
First Name:ISRAEL
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LMP, CSCS, RTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 HIGH SCHOOL RD NW
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-3680
Mailing Address - Country:US
Mailing Address - Phone:206-201-2989
Mailing Address - Fax:206-577-3839
Practice Address - Street 1:353 HIGH SCHOOL RD NW
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-3680
Practice Address - Country:US
Practice Address - Phone:206-201-2989
Practice Address - Fax:206-577-3839
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60192810225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist