MEDICARE: STEVEN KENNETH SANCHEZ JR. 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	MT8758	NM

General Provider Information

NPI Number	:	1871210898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN KENNETH SANCHEZ JR. LMT

Provider Business Mailing Address
First Line	:	12004 SULLIVAN CT NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-6535
Country	:	US
Telephone Number	:	505-553-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	4147 MONTGOMERY BLVD NE BLDG D
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-6741
Country	:	US
Telephone Number	:	505-553-0555
Fax Number	:

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

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	10/20/2022

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Directions to “ STEVEN KENNETH SANCHEZ JR. LMT” Practice Location

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