Provider Demographics
NPI:1285447763
Name:CHAMBERS, RAGAN (LMT)
Entity type:Individual
Prefix:
First Name:RAGAN
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6888 BRIDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4429
Mailing Address - Country:US
Mailing Address - Phone:307-413-6091
Mailing Address - Fax:
Practice Address - Street 1:125 BELLE FOREST CIR STE 203B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2101
Practice Address - Country:US
Practice Address - Phone:615-933-3532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3010225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist