Individual
CHANNING WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-6942
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4255
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14672145
CAQH
—
05
—
1811400088
—
NV
Enumeration date
11/09/2017
Last updated
01/10/2023
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