Provider Demographics
NPI:1639383458
Name:CHAO, TUN-YUAN (MPT)
Entity Type:Individual
Prefix:MS
First Name:TUN-YUAN
Middle Name:
Last Name:CHAO
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MS
Other - First Name:JESSIE
Other - Middle Name:
Other - Last Name:CHAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:8933 MARKET PL STE J
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8933 MARKET PL STE J
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-4909
Practice Address - Country:US
Practice Address - Phone:425-334-1122
Practice Address - Fax:425-334-1188
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA10289OtherLICENSE#