Individual provider · NPI-1
Chad A Adams, RKT
Kinesiotherapist · Lake City, FL
NPI number1205880929
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1205880929
- Entity type
- Individual (NPI-1)
- Name
- Chad A Adams
- Credential
- RKT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 226300000X | Kinesiotherapist | – | – | Yes |
Practice location
619 S Marion AveLake City, FL 32025-5808
Phone 386-755-3016
Mailing address
119 Sw Hummingbird GlnLake City, FL 32024-4151
Phone 386-719-2395
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