Provider Demographics
NPI:1962990580
Name:HAMRIC, CHELSEA (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HAMRIC
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 TIMBER LAKE CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27306-9286
Mailing Address - Country:US
Mailing Address - Phone:540-877-5685
Mailing Address - Fax:
Practice Address - Street 1:136 TIMBER LAKE CT
Practice Address - Street 2:
Practice Address - City:MOUNT GILEAD
Practice Address - State:NC
Practice Address - Zip Code:27306-9286
Practice Address - Country:US
Practice Address - Phone:540-877-5685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist