| Chancelor Chadwick, DPT | |
| 
					4833 Tumwater Valley Dr Se Ste 150, Tumwater, WA 98501-4583  | |
| (360) 493-4160 | |
| Not Available | 
| Full Name | Chancelor Chadwick | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 4833 Tumwater Valley Dr Se Ste 150, Tumwater, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285138396 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT60330293 (Washington) | Primary | 
| Provider Name | Centralia Physical Therapy Inc Ps | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1952666315 PECOS PAC ID: 0648429688 Enrollment ID: O20121005000577  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Chancelor Chadwick, DPT Po Box 3087, Portland, OR 97208-3087 Ph: () -  | Chancelor Chadwick, DPT 4833 Tumwater Valley Dr Se Ste 150, Tumwater, WA 98501-4583 Ph: (360) 493-4160  | 
Jordan Agtarap,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512 Phone: 564-999-4146  | |
Blossom Pediatric Therapy Pnw, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Tumwater Blvd Se Ste C210, Tumwater, WA 98501 Phone: 360-389-3706  | |
Integrated Rehab Group Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6981 Littlerock Rd Sw, Suite 105, Tumwater, WA 98512 Phone: 360-352-7352 Fax: 360-352-7680  | |
Ms. Sheena M Daniel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4833 Tumwater Valley Dr Se Ste 150, Tumwater, WA 98501 Phone: 360-493-4160 Fax: 360-493-4163  | |
Michael E O'brien, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Dennis St Sw, Suite A, Tumwater, WA 98501 Phone: 360-704-3300 Fax: 360-704-7676  | |
Lalani Shelton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Park Dr Sw, Tumwater, WA 98512 Phone: 360-790-0546  | |
William Walter Linnenkohl, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2755 Mottman Rd Sw, Tumwater, WA 98512 Phone: 360-352-5077 Fax: 360-352-5022  |