Provider Demographics
NPI:1194279091
Name:SANCHEZ, KALA MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KALA
Middle Name:MARIE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KALA
Other - Middle Name:MARIE
Other - Last Name:SPALDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:547 RANCHO DEL SOL WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2874
Mailing Address - Country:US
Mailing Address - Phone:508-280-0887
Mailing Address - Fax:
Practice Address - Street 1:4190 W FARM RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-5113
Practice Address - Country:US
Practice Address - Phone:725-238-1197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291803225100000X
COPTL.0014144225100000X
NV4709225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist