Provider Demographics
NPI:1942440904
Name:KECMAN, SASHA (DC)
Entity Type:Individual
Prefix:DR
First Name:SASHA
Middle Name:
Last Name:KECMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 US HIGHWAY 79 N
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75652-6013
Mailing Address - Country:US
Mailing Address - Phone:903-657-6500
Mailing Address - Fax:903-657-4891
Practice Address - Street 1:1301 US HIGHWAY 79 N
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75652-6013
Practice Address - Country:US
Practice Address - Phone:903-657-6500
Practice Address - Fax:903-657-4891
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10338111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition