Provider Demographics
NPI:1457528952
Name:CHAO, CHIEH (LMP)
Entity Type:Individual
Prefix:MS
First Name:CHIEH
Middle Name:
Last Name:CHAO
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33919 9TH AVE S
Mailing Address - Street 2:SUITE 207
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6742
Mailing Address - Country:US
Mailing Address - Phone:253-632-5168
Mailing Address - Fax:253-838-4108
Practice Address - Street 1:33919 9TH AVE S
Practice Address - Street 2:SUITE 207
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6742
Practice Address - Country:US
Practice Address - Phone:253-632-5168
Practice Address - Fax:253-838-4108
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA024201MA00017306225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0166061OtherWA DEPARTMENT OF LABOR AND INDUSTRIES