Provider Demographics
NPI:1265027890
Name:SOON, CHEE MAE (CMT)
Entity Type:Individual
Prefix:
First Name:CHEE MAE
Middle Name:
Last Name:SOON
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:SOON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMT
Mailing Address - Street 1:345 DEERFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-7609
Mailing Address - Country:US
Mailing Address - Phone:302-494-8222
Mailing Address - Fax:
Practice Address - Street 1:345 DEERFIELD AVE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-7609
Practice Address - Country:US
Practice Address - Phone:302-494-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist