Provider Demographics
NPI:1518242676
Name:HEUNG, THOMAS CHEUKYING (CMT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:CHEUKYING
Last Name:HEUNG
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 BACK RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-3022
Mailing Address - Country:US
Mailing Address - Phone:703-909-3800
Mailing Address - Fax:
Practice Address - Street 1:20630 ASHBURN RD STE 178
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5626
Practice Address - Country:US
Practice Address - Phone:703-858-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019009719225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist