1023409638 NPI number — MRS. MARY ZIEGLER CHAMBERS PHYSICAL THERAPIST

Table of content: MRS. MARY ZIEGLER CHAMBERS PHYSICAL THERAPIST (NPI 1023409638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023409638 NPI number — MRS. MARY ZIEGLER CHAMBERS PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAMBERS
Provider First Name:
MARY
Provider Middle Name:
ZIEGLER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZIEGLER
Provider Other First Name:
MARY
Provider Other Middle Name:
ELLEN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHYSICAL THERAPIST
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023409638
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2260
Provider Second Line Business Mailing Address:
135D WAPITI WAY
Provider Business Mailing Address City Name:
BANNER ELK
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28604-2260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-793-5587
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2359 HIGHWAY 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28607-7814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-793-5587
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/18/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  15414 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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