Brad Chavis, ATC
Specialist/Technologist, Athletic Trainer in Tempe, AZ. Individual provider (NPI-1).
NPI number1508059908
StatusActive
Last updated in NPPESAug 20, 2007
Details
- NPI
- 1508059908
- Entity type
- Individual (NPI-1)
- Name
- Brad Chavis
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2007
- Last updated
- Aug 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 704 | AZ | Yes |
Practice location
1025 E Broadway RdSte. 100
Tempe, AZ 85282-1599
Phone 480-829-0217 · Fax 480-829-1410
Mailing address
1025 E Broadway RdSte. 100
Tempe, AZ 85282-1599
Phone 480-829-0217 · Fax 480-829-1410
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