Provider Demographics
NPI:1225743503
Name:BARTOL, CHANDLER KAY (ATC)
Entity Type:Individual
Prefix:MS
First Name:CHANDLER
Middle Name:KAY
Last Name:BARTOL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1362 INDIAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE TOXAWAY
Mailing Address - State:NC
Mailing Address - Zip Code:28747-8724
Mailing Address - Country:US
Mailing Address - Phone:704-654-8609
Mailing Address - Fax:
Practice Address - Street 1:1362 INDIAN LAKE RD
Practice Address - Street 2:
Practice Address - City:LAKE TOXAWAY
Practice Address - State:NC
Practice Address - Zip Code:28747-8724
Practice Address - Country:US
Practice Address - Phone:704-654-8609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program