Theron A. Chandler, LMT

NPI #1063666451 in Forest Grove, Oregon

Provider Information

NPI Number: 1063666451
Entity Type: Individual
Name: Theron A. Chandler, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 1802 TAMARACK WAY
City: Forest Grove
State: Oregon
ZIP Code: 97116-2155
Phone: (503) 992-7425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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