Provider Demographics
NPI:1275863474
Name:CHAMBERS INTEGRATED HEALTH PLLC
Entity Type:Organization
Organization Name:CHAMBERS INTEGRATED HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-789-6753
Mailing Address - Street 1:4925 W BELL RD STE C7
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3431
Mailing Address - Country:US
Mailing Address - Phone:602-789-6753
Mailing Address - Fax:602-789-6755
Practice Address - Street 1:4925 W BELL RD STE C7
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3431
Practice Address - Country:US
Practice Address - Phone:602-789-6753
Practice Address - Fax:602-789-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty