Healthcare Provider Details

I. General information

NPI: 1740950476
Provider Name (Legal Business Name): DEBORAH ROSE CHESSER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306A HIGH ST
GREENFIELD MA
01301-2611
US

IV. Provider business mailing address

1 DOODY AVE
EASTHAMPTON MA
01027-2415
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-3379
  • Fax:
Mailing address:
  • Phone: 518-441-2816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25713
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: