Provider Demographics
NPI:1952087157
Name:KLINEDINST, CHESTER CHARLES ANDERSON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:CHARLES ANDERSON
Last Name:KLINEDINST
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 KENT LN
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2807
Mailing Address - Country:US
Mailing Address - Phone:598-603-1440
Mailing Address - Fax:
Practice Address - Street 1:55 KENT LN
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2807
Practice Address - Country:US
Practice Address - Phone:603-598-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT020464225100000X
NCP-CP022376T225100000X
NHCP027618T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist