Shannon E Chandler, DPT | |
3816 Bridgeport Way W, University Place, WA 98466-4416 | |
(253) 203-3996 | |
(253) 203-3997 |
Full Name | Shannon E Chandler |
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Gender | Female |
Speciality | Physical Therapist |
Location | 3816 Bridgeport Way W, University Place, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194449363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070027193 (Illinois) | Secondary |
225100000X | Physical Therapist | (Illinois) | Secondary |
225100000X | Physical Therapist | (Washington) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Shannon E Chandler, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Shannon E Chandler, DPT 3816 Bridgeport Way W, University Place, WA 98466-4416 Ph: (253) 203-3996 |
Angel Rene Rodriguez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7727 40th St W Ste A, University Place, WA 98466 Phone: 253-460-1362 | |
Keagan Tice, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7727 40th St W Ste A, University Place, WA 98466 Phone: 253-460-1362 | |
Angelito Ancheta Mabini, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5322 Orchard St W, University Place, WA 98467 Phone: 253-476-3333 Fax: 253-476-3334 | |
Ms. Teri Lynn Yap Yoshikawa, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9053 Ridgeview Cir W, University Place, WA 98466 Phone: 253-905-6174 | |
Lida Joy Aspirin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 70th Ave W, Apt E4, University Place, WA 98466 Phone: 253-314-1215 | |
Jade Graves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-343-3245 | |
Rhonda Paige Martin, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7727 40th St W, Suite A, University Place, WA 98466 Phone: 253-460-1362 Fax: 253-460-6628 |