Individual
DR. DANIEL MARTIN CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, LMT, CSCS
Contact information
Practice address
1200 W ROUTE 66, FLAGSTAFF, AZ 86001-6238
(928) 556-0776
Mailing address
4204 E SPRING MEADOWS CIR, FLAGSTAFF, AZ 86004-9207
(520) 907-6116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7779
AZ
225700000X
Massage Therapist
MT-05208
AZ
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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