Provider Demographics
NPI:1811229925
Name:CHASE, KAY S (LMT)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:S
Last Name:CHASE
Suffix:
Gender:F
Credentials:LMT
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Mailing Address - Street 1:116 CYPRESS WAY E
Mailing Address - Street 2:UNIT G6
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-2253
Mailing Address - Country:US
Mailing Address - Phone:239-514-2211
Mailing Address - Fax:
Practice Address - Street 1:2355 VANDERBILT BEACH RD
Practice Address - Street 2:SUITE 146
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2766
Practice Address - Country:US
Practice Address - Phone:239-514-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA29993225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist