Chantel Williams
Massage Therapist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1194166181
StatusActive
Last updated in NPPESJul 8, 2013
Details
- NPI
- 1194166181
- Entity type
- Individual (NPI-1)
- Name
- Chantel Williams
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2013
- Last updated
- Jul 8, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT21003614 | IN | Yes |
Practice location
2212 Lynn AveFort Wayne, IN 46805-3741
Phone 260-755-8855
Mailing address
2212 Lynn AveFort Wayne, IN 46805-3741
Phone 260-755-8855
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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