Provider Demographics
NPI:1710774914
Name:SANCHEZ, IBRAEL OSVALDO (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:IBRAEL
Middle Name:OSVALDO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26001 BUDDE RD APT 3001
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2050
Mailing Address - Country:US
Mailing Address - Phone:832-334-8979
Mailing Address - Fax:
Practice Address - Street 1:26001 BUDDE RD APT 3001
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2050
Practice Address - Country:US
Practice Address - Phone:832-334-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT143852225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist