Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANEL GORDON
Active Sole ProprietorCHANEL GORDON is a Physical Therapist Assistant healthcare provider located in MESA, Arizona. NPI 1184267346 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · MESA, AZ
Registration Details
- NPI Number
- 1184267346
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2019 (6.7730934393252 yrs)
- Last Updated
- Oct 21, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1731 W BASELINE RD STE 107MESA, AZ, 852025730Browse AZ providers · Browse ZIP 85202
- Phone
- 4806872336
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| GERALD L ECHOLS | C.P.O. | 1295789196 |
| TOMMIE FOXWORTH | — | 1669907150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.