Provider Demographics
NPI:1013463462
Name:CHOV, CHASTITY MEI-LING (MS, LAT, ATC)
Entity Type:Individual
Prefix:MISS
First Name:CHASTITY
Middle Name:MEI-LING
Last Name:CHOV
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E STADIUM WAY RENO ORTHOPEDIC SPORTS MED COMPLEX
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:832-348-3030
Mailing Address - Fax:775-784-8077
Practice Address - Street 1:E STADIUM WAY RENO ORTHOPEDIC SPORTS MED COMPLEX
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-2246
Practice Address - Country:US
Practice Address - Phone:832-348-3030
Practice Address - Fax:775-784-8077
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05065542255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer