Provider Demographics
NPI:1295025104
Name:ALEXANDER, CHEKANDA (LMT, MMP)
Entity Type:Individual
Prefix:
First Name:CHEKANDA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 ANDERSON RD UNIT 105
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-6009
Mailing Address - Country:US
Mailing Address - Phone:615-752-8996
Mailing Address - Fax:
Practice Address - Street 1:3401 ANDERSON RD UNIT 105
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-6009
Practice Address - Country:US
Practice Address - Phone:615-752-8996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6719173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist