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SANDRA ANN CHASE LMT

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

Registrant NPI Number: 1710389861

Individual Registrant:
 SANDRA ANN CHASE LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
111 ATLANTA RD  GRAY, GA 31032-5541 US
Tel: 478-972-8306  Fax: --

Contact information for business:
717 TURNERWOODS RD  GRAY, GA 31032-3549 US
Tel: 478-972-8306  Fax: --

Registration Information:
NPI: 1710389861
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
GAMT003469

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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