Individual
MR. JOHN MICHAEL CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1220 1ST AVE NE, CEDAR RAPIDS, IA 52402-5092
(319) 329-1978
Mailing address
2307 SNAPDRAGON CIR SW, CEDAR RAPIDS, IA 52404-2173
(319) 329-1978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00140
IA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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