Provider Demographics
NPI:1235489378
Name:STRICKLAND, CHELISE E (ATC)
Entity Type:Individual
Prefix:
First Name:CHELISE
Middle Name:E
Last Name:STRICKLAND
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 1:1501 CASHO MILL RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3500
Mailing Address - Country:US
Mailing Address - Phone:302-453-1588
Mailing Address - Fax:
Practice Address - Street 1:1501 CASHO MILL RD
Practice Address - Street 2:SUITE 6
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3500
Practice Address - Country:US
Practice Address - Phone:302-453-1588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ3-00003992255A2300X
MDA00003172255A2300X
PART0050112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer