Provider Demographics
NPI:1205880929
Name:ADAMS, CHAD A (RKT)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:A
Last Name:ADAMS
Suffix:
Gender:M
Credentials:RKT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:119 SW HUMMINGBIRD GLN
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32024-4151
Mailing Address - Country:US
Mailing Address - Phone:386-719-2395
Mailing Address - Fax:
Practice Address - Street 1:619 S MARION AVE
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5808
Practice Address - Country:US
Practice Address - Phone:386-755-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist