IndividualActive
Chandler Starks, LCMT
NPI 1700550381 · Massage Therapist · Gary, IN
Provider details
- NPI number
- 1700550381
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LCMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 227021219 (IL)
Mailing address
4069 Louisiana St
Gary, IN 46409-1841
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2021-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.