Provider Demographics
NPI:1033162466
Name:CHPAMAN, SHIRLEY (RKT, CDRS)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:CHPAMAN
Suffix:
Gender:F
Credentials:RKT, CDRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 KING ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-8117
Mailing Address - Country:US
Mailing Address - Phone:214-857-1329
Mailing Address - Fax:214-857-1281
Practice Address - Street 1:4500 SOUTH LANCASTER ROAD (117)
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:214-857-1329
Practice Address - Fax:214-857-1281
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1384226300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist