Provider Demographics
NPI:1821308560
Name:SAAVEDRA-KLOSS, ALEXANDRA (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:SAAVEDRA-KLOSS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:SAAVEDRA-KLOSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:95 BOGEY LN
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-5801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:415-322-6255
Practice Address - Street 1:95 BOGEY LN
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-5801
Practice Address - Country:US
Practice Address - Phone:415-710-3123
Practice Address - Fax:415-322-6255
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 37214225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21382ZMedicare UPIN