Most Relevant Information
Provider Data
| NPI Number: | 1003486077 |
| Provider Name: | CHANDLER R ALTOM PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11-06809 |
Most Important Dates
| Enumeration Date: | 06/30/2021 |
| Last Updated: | 06/30/2021 |
Provider Practice Location
11207 SHAWNEE MISSION PKWY
SHAWNEE
KS
662033333
Practice Location Phone/Fax
| Phone: | 9132755751 |
| Fax: | 9133202217 |
Provider Mailing Location
2122 YORK RD STE 300
OAK BROOK
IL
605231925
Provider Mailing Phone/Fax
| Phone: | 6305751980 |
| Fax: | 6309285080 |