Provider Demographics
NPI:1215623426
Name:RICE, XIAO (DACM, DIPL OM, LAC)
Entity type:Individual
Prefix:
First Name:XIAO
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:DACM, DIPL OM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7053 LEE HWY STE 305
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1823
Mailing Address - Country:US
Mailing Address - Phone:423-521-0480
Mailing Address - Fax:
Practice Address - Street 1:7053 LEE HWY STE 305
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1823
Practice Address - Country:US
Practice Address - Phone:423-521-0480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACU0000000505171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty