Provider Demographics
NPI:1417459322
Name:AMARADIO, CHLOE ISABELLA (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:ISABELLA
Last Name:AMARADIO
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33528 MONTE VERDE RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3433
Mailing Address - Country:US
Mailing Address - Phone:951-595-3470
Mailing Address - Fax:
Practice Address - Street 1:65 N HARVARD ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02163-1010
Practice Address - Country:US
Practice Address - Phone:617-495-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer