Individual
SANDRA ANN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 ATLANTA RD, GRAY, GA 31032-5541
(478) 972-8306
Mailing address
717 TURNERWOODS RD, GRAY, GA 31032-3549
(478) 972-8306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003469
GA
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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