Kathleen Lynn Chandler, MT

Individual provider Active NPI Massage Therapist · Bishop, CA

NPI 1013491497 · NPPES record last updated Sep 20, 2018

Key facts

NPI
1013491497
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
288818-00 (CA)
Practice address
214 W Line Street, Suite J
Bishop, CA 93514
Phone
(760) 937-0573
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
288818-00CAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 288818-00 CA Yes

Addresses

Primary practice location

214 W Line Street, Suite J
Bishop, CA 93514

Mailing address

214 W Line Street, Suite J
Bishop, CA 93514
Phone (760) 937-0573

Other providers in Bishop, CA

All providers in Bishop, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.