Provider Demographics
NPI:1740581727
Name:SANCHEZ, ANA ISABEL (LMP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ISABEL
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:ISABEL
Other - Last Name:SANCHEZ TERAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1127 WALNUT ST
Mailing Address - Street 2:APT. M1
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4614
Mailing Address - Country:US
Mailing Address - Phone:360-550-5759
Mailing Address - Fax:
Practice Address - Street 1:4060 WHEATON WAY
Practice Address - Street 2:SUITE C
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3500
Practice Address - Country:US
Practice Address - Phone:360-479-8477
Practice Address - Fax:360-479-8417
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60192665225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist