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KATHLEEN LYNN CHANDLER MT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013491497

Individual Registrant:
 KATHLEEN LYNN CHANDLER MT
Gender: F
Sole Proprietor

Location and contact information for practice:
214 W LINE STREET, SUITE J  BISHOP, CA 93514 US
Tel: 760-937-0573  Fax: --

Contact information for business:
214 W LINE STREET, SUITE J  BISHOP, CA 93514 US
Tel: 760-937-0573  Fax: --

Registration Information:
NPI: 1013491497
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
CA288818-00

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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