Provider Demographics
NPI:1053729566
Name:LAWING, CHELSEA (ATC, LAT, MED, CSCS)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:LAWING
Suffix:
Gender:F
Credentials:ATC, LAT, MED, CSCS
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:DAUGHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, LAT, MED, CSCS
Mailing Address - Street 1:100 ATHLETIC ST
Mailing Address - Street 2:PO BOX 6668
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-9134
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 ATHLETIC ST
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-9134
Practice Address - Country:US
Practice Address - Phone:828-689-1108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-21152255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer