Chandra Dawn Justice, MMP is a
Massage Therapist based in Tishomingo, Oklahoma. Chandra Dawn Justice is licensed to practice in Oklahoma (license number 157062) and her current practice location is
101 N Kemp Ave, Tishomingo, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 371-7362.
NPI number for Chandra Dawn Justice is 1003394263 and her current mailing address is 807 N Byrd St, Tishomingo, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003394263.
Healthcare Provider's Profile
| Full Name | Chandra Dawn Justice |
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| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 101 N Kemp Ave, Tishomingo, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003394263
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 07/31/2018
Medical Identifiers
Medical identifiers for Chandra Dawn Justice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003394263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 157062 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chandra Dawn Justice is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chandra Dawn Justice, MMP
807 N Byrd St,
Tishomingo, OK 73460-1411
Ph: (580) 371-7362 | Chandra Dawn Justice, MMP
101 N Kemp Ave,
Tishomingo, OK 73460-1719
Ph: (580) 371-7362 |
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