Anthony Todd Chamberlain, MA 60201222
Individual provider Active NPI Massage Therapist · Othello, WA
NPI 1033648142 · NPPES record last updated Jun 12, 2017
Key facts
- NPI
- 1033648142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60201222 (WA)
- Practice address
- 225 E Main St
Othello, WA 99344-1053 - Phone
- (509) 488-0797
- NPI assigned
- Jun 12, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60201222 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Othello Chiropractic PS | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60201222 | WA | Yes |
Addresses
Primary practice location
225 E Main St
Othello, WA 99344-1053
Mailing address
8190 Road R.7 SE
Warden, WA 98857-9596
Other providers in Othello, WA
- Marisol Cardenas
- Stephanie S Carl
- Connie Carrigan
- Leigh Castillo
- Rachael Catt
- Jeffrey Chang
- Keng-Hao Chang
- Aleta Cheek
- Ji Hyung Choi
- Dane Christensen
All providers in Othello, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.