Doctor Name: | MISS KELLEY NICOLE CHANDLER |
NPI Number: | 1003811258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 2002025550 |
Business Practice Address: | 1420 W Ashley Rd Boonville, MO - 652332112 |
Business Phone Number: | 6608826115 |
Business Fax Number: | 6608826120 |
Mailing Address: | 4501 S Harvest Rd, COLUMBIA |
State: | MO |
Postal Code: | 652038764 |
Phone Number: | 5734745098 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2002025550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |