Provider Demographics
NPI:1265668024
Name:CHADWICK, CHIAH (LMT)
Entity Type:Individual
Prefix:MRS
First Name:CHIAH
Middle Name:
Last Name:CHADWICK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CAYUGA RD
Mailing Address - Street 2:EUROSPA BY VERONIKA INC.
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1940
Mailing Address - Country:US
Mailing Address - Phone:716-632-7373
Mailing Address - Fax:
Practice Address - Street 1:326 CAYUGA RD
Practice Address - Street 2:EUROSPA BY VERONIKA INC.
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-1940
Practice Address - Country:US
Practice Address - Phone:716-632-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020563225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist