MEDICARE: ALEJANDRA C SANCHEZ LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173C00000X	Reflexologist	5505528-4701	UT
2	225700000X	Massage Therapist	5505528-4701	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45-2271309	OTHER	UT	IRS

General Provider Information

NPI Number	:	1386080901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRA C SANCHEZ LMT

Provider Business Mailing Address
First Line	:	1174 E GRAYSTONE WAY
Second Line	:	SUITE 9
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2673
Country	:	US
Telephone Number	:	801-638-5496
Fax Number	:

Provider Business Practice Location Address
First Line	:	1174 E GRAYSTONE WAY
Second Line	:	SUITE 9
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2673
Country	:	US
Telephone Number	:	801-638-5496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	05/22/2013

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