Individual
THERESA CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, CSCS
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-3099
Mailing address
426 DILLINGHAM LN, KALAMAZOO, MI 49009-2427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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