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SANDRA ANN CHASE LMT
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1710389861
Individual Registrant: SANDRA ANN CHASE LMT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
111 ATLANTA RD GRAY, GA 31032-5541 US
Tel: 478-972-8306 Fax: --
Tel: 478-972-8306 Fax: --
Contact information for business:
717 TURNERWOODS RD GRAY, GA 31032-3549 US
Tel: 478-972-8306 Fax: --
Tel: 478-972-8306 Fax: --
Registration Information:
NPI: 1710389861
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | GA | MT003469 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
