Provider Demographics
NPI:1003422965
Name:MCPHERSON, CHANDLER HAGAN (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHANDLER
Middle Name:HAGAN
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 SMITH WAY
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-3018
Mailing Address - Country:US
Mailing Address - Phone:270-427-7501
Mailing Address - Fax:
Practice Address - Street 1:1400 GIBSON BAY DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3800
Practice Address - Country:US
Practice Address - Phone:859-626-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist