Provider Demographics
NPI:1720708449
Name:HEMBERGER, CHANDLER (OTD)
Entity Type:Individual
Prefix:
First Name:CHANDLER
Middle Name:
Last Name:HEMBERGER
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:CHANDLER
Other - Middle Name:PAIGE
Other - Last Name:BERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19931 W KELLOGG DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052-8864
Mailing Address - Country:US
Mailing Address - Phone:316-550-6132
Mailing Address - Fax:316-550-6215
Practice Address - Street 1:19931 W KELLOGG DR UNIT A
Practice Address - Street 2:
Practice Address - City:GODDARD
Practice Address - State:KS
Practice Address - Zip Code:67052-8864
Practice Address - Country:US
Practice Address - Phone:316-550-6132
Practice Address - Fax:316-550-6215
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist