Healthcare Provider Details

I. General information

NPI: 1487548368
Provider Name (Legal Business Name): ALONDRA ESQUIVEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 PINNACLE CT STE 8A
MESQUITE NV
89027-3322
US

IV. Provider business mailing address

97 E 300 N
HURRICANE UT
84737-1829
US

V. Phone/Fax

Practice location:
  • Phone: 435-619-1348
  • Fax:
Mailing address:
  • Phone: 435-619-1348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number13026
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: