MEDICARE: REBECCA NICOLE 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	225700000X	Massage Therapist	NVMT.8980	NV

General Provider Information

NPI Number	:	1639794191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA NICOLE SANCHEZ LMT

Provider Business Mailing Address
First Line	:	7404 OUTPOST DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1336
Country	:	US
Telephone Number	:	702-569-9059
Fax Number	:

Provider Business Practice Location Address
First Line	:	9770 S MARYLAND PKWY STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7143
Country	:	US
Telephone Number	:	702-569-9059
Fax Number	:

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

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	06/10/2020

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