Provider Demographics
NPI:1912027970
Name:CHAMBERS, MARTHA ZIMMERMANN (LMT, MMP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:ZIMMERMANN
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 PLAYER AVE
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-5201
Mailing Address - Country:US
Mailing Address - Phone:520-678-1366
Mailing Address - Fax:520-378-9506
Practice Address - Street 1:2405 PLAYER AVE
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-5201
Practice Address - Country:US
Practice Address - Phone:520-678-1366
Practice Address - Fax:520-378-9506
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-03687225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist