Provider Demographics
NPI:1013771500
Name:PEREZ-MARTINEZ, ALEJANDRO LUIS (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:LUIS
Last Name:PEREZ-MARTINEZ
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 BEECH ST # 336
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:CO
Mailing Address - Zip Code:80642-5037
Mailing Address - Country:US
Mailing Address - Phone:786-319-8234
Mailing Address - Fax:
Practice Address - Street 1:1093 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2252
Practice Address - Country:US
Practice Address - Phone:303-655-9005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0024445225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist