Provider Demographics
NPI:1144265984
Name:ABRAMS, CHAD C (ATC)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:C
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 WEBSTER FORD RD
Mailing Address - Street 2:
Mailing Address - City:TALLASSEE
Mailing Address - State:AL
Mailing Address - Zip Code:36078-3147
Mailing Address - Country:US
Mailing Address - Phone:334-257-4499
Mailing Address - Fax:
Practice Address - Street 1:1199 S DONAHUE DR STE C
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-5805
Practice Address - Country:US
Practice Address - Phone:334-821-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer