Provider Demographics
NPI:1801041967
Name:TOMII, CHIAKI (LIC AC)
Entity Type:Individual
Prefix:
First Name:CHIAKI
Middle Name:
Last Name:TOMII
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 E 51ST ST STE 109
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2253
Mailing Address - Country:US
Mailing Address - Phone:512-993-7055
Mailing Address - Fax:
Practice Address - Street 1:940 E 51ST ST STE 109
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-2253
Practice Address - Country:US
Practice Address - Phone:512-993-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227940171100000X
TXAC01565171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1801041967OtherNPI