Provider Demographics
NPI:1538021902
Name:BACH, CHANCE
Entity type:Individual
Prefix:
First Name:CHANCE
Middle Name:
Last Name:BACH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 E COCHISE DR UNIT 2071
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4919
Mailing Address - Country:US
Mailing Address - Phone:425-335-3508
Mailing Address - Fax:
Practice Address - Street 1:11500 E COCHISE DR UNIT 2071
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4919
Practice Address - Country:US
Practice Address - Phone:425-335-3508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist