MEDICARE: CHANDLER MULL

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
1	225100000X	Physical Therapist		AL

General Provider Information

NPI Number	:	1760348353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDLER MULL

Provider Business Mailing Address
First Line	:	217 WINGATE AVE SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7061 HIGHWAY 72 W STE B
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2959
Country	:	US
Telephone Number	:	256-261-3531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ CHANDLER MULL ” Practice Location

Language	Start Address	Practice Location

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