MEDICARE: MR. ALEXANDER SASHA TOWNSEND CERTIFIED MASSAGE TH

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	225700000X	Massage Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1938763	OTHER		AMTA
2	1938763	OTHER	CA	AMTA

General Provider Information

NPI Number	:	1548931694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXANDER SASHA TOWNSEND CERTIFIED MASSAGE TH

Provider Business Mailing Address
First Line	:	8009 NORTON AVE APT 1
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5053
Country	:	US
Telephone Number	:	323-251-4206
Fax Number	:

Provider Business Practice Location Address
First Line	:	8009 NORTON AVE APT 1
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5053
Country	:	US
Telephone Number	:	323-251-4206
Fax Number	:

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

Provider Enumeration Date	:	09/27/2021
Last Update Date	:	09/27/2021

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Directions to “ MR. ALEXANDER SASHA TOWNSEND CERTIFIED MASSAGE TH” Practice Location

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