Michael Chester, PTA

NPI #1972906949 in Vicksburg, Mississippi

Provider Information

NPI Number: 1972906949
Entity Type: Individual
Name: Michael Chester, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 3, 2014
Last Updated: Oct 3, 2014

Practice Location

Address: 1990 S FRONTAGE RD STE J
City: Vicksburg
State: Mississippi
ZIP Code: 39180-5232
Phone: (601) 883-1983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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