Provider Demographics
NPI:1003601162
Name:SANCHEZ FERNANDEZ, AXEL NHADIR (MT)
Entity type:Individual
Prefix:
First Name:AXEL
Middle Name:NHADIR
Last Name:SANCHEZ FERNANDEZ
Suffix:
Gender:
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38397 INNOVATION CT STE 103
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2631
Mailing Address - Country:US
Mailing Address - Phone:951-579-0758
Mailing Address - Fax:
Practice Address - Street 1:38397 INNOVATION CT STE 103
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2631
Practice Address - Country:US
Practice Address - Phone:951-579-0758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97159225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist