Provider Demographics
NPI:1174974976
Name:CHELLA, MATTHEW (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:CHELLA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 FARMS VILLAGE RD UNIT K
Mailing Address - Street 2:
Mailing Address - City:WEST SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06092-2407
Mailing Address - Country:US
Mailing Address - Phone:860-413-2727
Mailing Address - Fax:860-413-2730
Practice Address - Street 1:244 FARMS VILLAGE RD UNIT K
Practice Address - Street 2:
Practice Address - City:WEST SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06092-2407
Practice Address - Country:US
Practice Address - Phone:860-413-2727
Practice Address - Fax:860-413-2730
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002038111N00000X
CT2038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor