Provider Demographics
NPI:1144545039
Name:CHAPPLE, IAN GRANT (PT)
Entity type:Individual
Prefix:
First Name:IAN
Middle Name:GRANT
Last Name:CHAPPLE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13402 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4054
Mailing Address - Country:US
Mailing Address - Phone:602-614-4911
Mailing Address - Fax:480-945-5514
Practice Address - Street 1:13402 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4054
Practice Address - Country:US
Practice Address - Phone:602-614-4911
Practice Address - Fax:480-945-5514
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ55942081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine