Provider Demographics
NPI:1780014126
Name:CHAMBERS-GRUBBS, ANNE MARIE (MHTI)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:CHAMBERS-GRUBBS
Suffix:
Gender:F
Credentials:MHTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 E CALVADA BLVD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-5847
Mailing Address - Country:US
Mailing Address - Phone:775-910-2253
Mailing Address - Fax:
Practice Address - Street 1:1440 E CALVADA BLVD
Practice Address - Street 2:900
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5847
Practice Address - Country:US
Practice Address - Phone:775-751-7406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-21
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner