Provider Demographics
NPI:1003527599
Name:CHIPREZ, ANA ISABEL (CMT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ISABEL
Last Name:CHIPREZ
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 CHATTAHOOCHEE CIR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5111
Mailing Address - Country:US
Mailing Address - Phone:404-226-0559
Mailing Address - Fax:
Practice Address - Street 1:615 COLONIAL PARK DR STE 204
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3773
Practice Address - Country:US
Practice Address - Phone:678-226-9816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT009196225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist