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NPI Code Detail

MEDICARE: DR. CHASE WILLIAM MCKINNEY DPT

MEDICARE: DR. CHASE WILLIAM MCKINNEY DPT
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
12251P0200XPediatric Physical Therapist

General Provider Information

NPI Number : 1770352783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHASE WILLIAM MCKINNEY DPT
Provider Business Mailing Address
First Line : 7261 ELKO RD
Second Line :
City : SANDSTON
State : VA
Zip : 23150-5802
Country : US
Telephone Number : 804-994-1845
Fax Number :
Provider Business Practice Location Address
First Line : 4823 S LABURNUM AVE STE C
Second Line :
City : HENRICO
State : VA
Zip : 23231-2713
Country : US
Telephone Number : 804-533-2622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2024
Last Update Date : 01/02/2024

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