Individual
ERNIE CHASIAS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5349 S ADAMS AVE, SUITE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Mailing address
5349 S ADAMS AVE, SUITE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
274724-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870502207001
—
UT
Enumeration date
09/21/2006
Last updated
02/25/2008
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