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NPI Code Detail

MEDICARE: MS. MARTHA CHUMBLEY RPT

MEDICARE: MS. MARTHA CHUMBLEY RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT777AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1515-25434OTHERALBLUE CROSS BLUE SHIELD OF

General Provider Information

NPI Number : 1205980539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARTHA CHUMBLEY RPT
Provider Business Mailing Address
First Line : 17851 ELLES DR
Second Line :
City : ATHENS
State : AL
Zip : 35611-5638
Country : US
Telephone Number : 256-536-2699
Fax Number : 256-536-4199
Provider Business Practice Location Address
First Line : 113 LONGWOOD DR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4556
Country : US
Telephone Number : 256-536-2699
Fax Number : 256-536-4199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MARTHA CHUMBLEY RPT” Practice Location

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