Provider Demographics
NPI:1316367253
Name:CHAPMAN, PHILIP (ATC)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4549 MALUS DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-7921
Mailing Address - Country:US
Mailing Address - Phone:540-387-6322
Mailing Address - Fax:
Practice Address - Street 1:4549 MALUS DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7921
Practice Address - Country:US
Practice Address - Phone:540-387-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer