Provider Demographics
NPI:1508026055
Name:STREICH, SHARON KAY (LAC, MT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:STREICH
Suffix:
Gender:F
Credentials:LAC, MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16126 COMMELINA DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-6035
Mailing Address - Country:US
Mailing Address - Phone:512-203-2391
Mailing Address - Fax:
Practice Address - Street 1:3939 BEE CAVE RD STE A202
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6429
Practice Address - Country:US
Practice Address - Phone:512-203-2391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2010-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00611171100000X
TXMT009856225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist