Individual
CHANTZ DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-0248
Mailing address
141 N 5TH DR, SHOW LOW, AZ 85901-4666
(928) 245-8719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31147
AZ
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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