Provider Demographics
NPI:1780393371
Name:CHAMBERS, SARAH ANNE VIRGINIA (LAT, ATC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE VIRGINIA
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-1241
Mailing Address - Country:US
Mailing Address - Phone:978-879-8217
Mailing Address - Fax:
Practice Address - Street 1:1 CHAPIN WAY
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01063-6302
Practice Address - Country:US
Practice Address - Phone:978-879-8217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
MA37832255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer