Individual
CHASITI C.S. CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
514 S BROWN ST STE 600, SPRINGFIELD, TN 37172-2948
(615) 478-1111
Mailing address
402 PENNSYLVANIA AVE, OAK RIDGE, TN 37830-5117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
TN
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036694
—
TN
Enumeration date
06/11/2018
Last updated
03/25/2020
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