Provider Demographics
NPI:1659509255
Name:CHAMBERS, LAURA JEAN MALNATI (DPT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:JEAN MALNATI
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E COMMERCE CT
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760-3200
Mailing Address - Country:US
Mailing Address - Phone:865-475-3101
Mailing Address - Fax:865-475-9213
Practice Address - Street 1:1855 LONGVIEW LN
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-4431
Practice Address - Country:US
Practice Address - Phone:865-387-3752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205944225100000X
TN10253225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist