Provider Demographics
NPI:1932976818
Name:ROMERO, CHASITY (LMT)
Entity Type:Individual
Prefix:
First Name:CHASITY
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 WATERMARK BLVD APT 2220
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2713
Mailing Address - Country:US
Mailing Address - Phone:580-402-5715
Mailing Address - Fax:
Practice Address - Street 1:2701 WATERMARK BLVD APT 2220
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2713
Practice Address - Country:US
Practice Address - Phone:580-402-5715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK107925225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist