Healthcare Provider Details

I. General information

NPI: 1285683078
Provider Name (Legal Business Name): DEVIN CHAMBERS MS, RKT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DEAN CHAMBERS MS, RKT

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 WESTWIND DR
BAKERSFIELD CA
93301-3028
US

IV. Provider business mailing address

1801 WESTWIND DR
BAKERSFIELD CA
93301-3028
US

V. Phone/Fax

Practice location:
  • Phone: 661-632-1845
  • Fax: 661-632-1858
Mailing address:
  • Phone: 661-632-1845
  • Fax: 661-632-1858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number1359
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: