Provider Demographics
NPI:1427407154
Name:MCNALLY, CHELSEA MYERS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MYERS
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6537 COACHLEIGH WAY
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-3648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2960 CHAIN BRIDGE RD
Practice Address - Street 2:STE. 201
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-3039
Practice Address - Country:US
Practice Address - Phone:703-242-6460
Practice Address - Fax:703-242-6463
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210310225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist