Sthephanie Alexandra Sanchez-Padron, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Manchester, MO. Individual provider (NPI-1).
NPI number1669942264
StatusActive
Last updated in NPPESSep 14, 2021
Details
- NPI
- 1669942264
- Entity type
- Individual (NPI-1)
- Name
- Miss Sthephanie Alexandra Sanchez-Padron
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2018
- Certification date
- Sep 14, 2021
- Last updated
- Sep 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
203 Enchanted Pkwy Apt 1Manchester, MO 63021-5481
Phone 402-591-9582
Mailing address
203 Enchanted Pkwy Apt 1Manchester, MO 63021-5481
Phone 402-591-9582
Other practice locations
3320 N 58th St
Omaha, NE 68104-3433
Omaha, NE 68104-3433
Phone 402-591-9582
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Other Athletic Trainer providers in Manchester, MO
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