Provider Demographics
NPI:1205211166
Name:BEST, CHELSEA (LAT, ATC, FMS)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BEST
Suffix:
Gender:F
Credentials:LAT, ATC, FMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PETTINARO DR
Mailing Address - Street 2:APT G6
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-1559
Mailing Address - Country:US
Mailing Address - Phone:917-757-0587
Mailing Address - Fax:
Practice Address - Street 1:200 PETTINARO DR
Practice Address - Street 2:APT G6
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-1559
Practice Address - Country:US
Practice Address - Phone:917-757-0587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ3-00005332083S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine