Provider Demographics
NPI:1437278066
Name:CHANDLER, RICHARD J (RPP, CA, LMT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:J
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:RPP, CA, LMT
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Mailing Address - Street 1:2524 GOETTENS WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-1941
Mailing Address - Country:US
Mailing Address - Phone:320-253-8029
Mailing Address - Fax:320-257-1646
Practice Address - Street 1:2524 GOETTENS WAY
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-1941
Practice Address - Country:US
Practice Address - Phone:320-253-8029
Practice Address - Fax:320-257-1646
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist