Provider Demographics
NPI:1497534887
Name:LAWTON, CHANTEL (LMT)
Entity Type:Individual
Prefix:
First Name:CHANTEL
Middle Name:
Last Name:LAWTON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 21ST AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5605
Mailing Address - Country:US
Mailing Address - Phone:941-713-1637
Mailing Address - Fax:
Practice Address - Street 1:5701 21ST AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5605
Practice Address - Country:US
Practice Address - Phone:941-713-1637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist