CHADWICK LAMAR DUCKETT
NPI 1992576524
Massage Therapist in Portsmouth, VA
Active since January 11, 2024
About Chadwick Lamar Duckett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHADWICK LAMAR DUCKETT (NPI 1992576524) is an individual massage therapist in Portsmouth, Virginia, licensed in Virginia (0019019677) and active in the NPI registry since January 2024.
NPPES Registry Identity
NPI1992576524
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCHADWICK LAMAR DUCKETT
Location Address1524 CRYSTAL LAKE DRPortsmouth, VA 23701-3624
Mailing Address1524 Crystal Lake DrPortsmouth, VA 23701-3624 · (267) 257-3806
Phone(267) 257-3806
Sole ProprietorYes
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1992576524 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in VA · 0019019677
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1524 CRYSTAL LAKE DR, Portsmouth, VA 23701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992576524, enumerated as an "individual" on January 11, 2024.
The provider is located at 1524 CRYSTAL LAKE DR PORTSMOUTH, VA 23701 and the phone number is (267) 257-3806.
Massage Therapist with taxonomy code 225700000X.