Casey Sanders, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-17549 Issued in AZ

Practice address

4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609

Phone

(505) 239-9644

Fax

(505) 896-2958

NPI assigned

Aug 20, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1447926100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 TANZANITE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141853",
            "telephone_number": "505-239-9644",
            "fax_number": "505-896-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064609",
            "telephone_number": "505-239-9644",
            "fax_number": "505-896-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CASEY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-17549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Sand, DPT
• Jacklyne Sandaldjian
• Blair James Sandall, DPM
• Ryan Scott Sandberg, OD
• Alvin Benjamin Sanders, D.C.
• Chantel Alani Sanders
• Dana Sanders, FNP-C
• Emilee Sanders, OTD, OTR
• John Sanders
• John Sanders

• Massage Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.