Individual
MISTY NICOLE CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1100 E 5TH ST, ANDERSON, IN 46012-3462
(765) 641-3792
Mailing address
1230 LYNNWOOD DR, ANDERSON, IN 46012-4491
(765) 425-1232
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
36001344A
IN
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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