| Doctor Name: | MRS. MARLITA CHANTRY |
| NPI Number: | 1124092184 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT00007570 |
| Business Practice Address: | 217 E 2nd Ave Colville, WA - 991142903 |
| Business Phone Number: | 5096845027 |
| Business Fax Number: | 5096846133 |
| Mailing Address: | 397072 Highway 20, CUSICK |
| State: | WA |
| Postal Code: | 99119 |
| Phone Number: | 5099935360 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00007570 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |