Provider Demographics
NPI:1174711352
Name:WOODS, CHANCE (ACE PERSONAL TRAINER)
Entity type:Individual
Prefix:
First Name:CHANCE
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:ACE PERSONAL TRAINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9766 ROSEHILL RD # K36
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-1261
Mailing Address - Country:US
Mailing Address - Phone:269-845-5719
Mailing Address - Fax:
Practice Address - Street 1:9766 ROSEHILL RD # K36
Practice Address - Street 2:
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103-1261
Practice Address - Country:US
Practice Address - Phone:269-845-5719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor