# CHANDLERS SPECIALTY SHOES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chandlers Walk Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588868566
- **Authorized official:** MR. ALBERT E CHANDLER JR. PT CPED (OWNER)
- **Authorized official phone:** (801) 274-6905

## Contact information

- **Practice address:** 6321 S HIGHLAND DR, SALT LAKE CITY, UT 84121-9107
- **Practice address phone:** (801) 274-6905
- **Practice address fax:** (801) 274-3341
- **Mailing address:** 6321 S HIGHLAND DR, SALT LAKE CITY, UT 84121-9107
- **Mailing address phone:** (801) 274-6905
- **Mailing address fax:** (801) 274-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1046492401 | UT | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 02/27/2008