Provider Demographics
NPI:1740709112
Name:CHANDLER, IVEE JAE (OT)
Entity type:Individual
Prefix:
First Name:IVEE
Middle Name:JAE
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:IVEE
Other - Middle Name:JAE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:211 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2859
Mailing Address - Country:US
Mailing Address - Phone:192-773-1663
Mailing Address - Fax:319-266-4846
Practice Address - Street 1:211 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2859
Practice Address - Country:US
Practice Address - Phone:192-773-1663
Practice Address - Fax:319-266-4846
Is Sole Proprietor?:No
Enumeration Date:2017-09-16
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA089100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist