| NPI | 1811390248 |
|---|---|
| Former Name | TERRY LEE CHAPPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-192) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MASG-168) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |