Provider Demographics
NPI:1225206667
Name:YAO, HUAI CHUN (LIC AC)
Entity Type:Individual
Prefix:
First Name:HUAI CHUN
Middle Name:
Last Name:YAO
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A BETTER BODY
Mailing Address - Street 2:1223 BEACON ST., SUITE D
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446
Mailing Address - Country:US
Mailing Address - Phone:617-738-2288
Mailing Address - Fax:
Practice Address - Street 1:A BETTER BODY
Practice Address - Street 2:1223 BEACON ST - #D
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446
Practice Address - Country:US
Practice Address - Phone:617-738-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA579171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist