Provider Demographics
NPI:1356009237
Name:CHIMA, ASHIEDU (LMT)
Entity Type:Individual
Prefix:MR
First Name:ASHIEDU
Middle Name:
Last Name:CHIMA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:MR
Other - First Name:ASH
Other - Middle Name:
Other - Last Name:CHIMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:201 W HARRISON ST UNIT 207
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-4270
Mailing Address - Country:US
Mailing Address - Phone:323-822-6810
Mailing Address - Fax:
Practice Address - Street 1:201 W HARRISON ST UNIT 207
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4270
Practice Address - Country:US
Practice Address - Phone:323-822-6810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61186476225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist