Provider Demographics
NPI:1649324161
Name:CHAU, LUTHER KHANH (DC, LMP)
Entity type:Individual
Prefix:MR
First Name:LUTHER
Middle Name:KHANH
Last Name:CHAU
Suffix:
Gender:M
Credentials:DC, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 50TH ST CT NW
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335
Mailing Address - Country:US
Mailing Address - Phone:253-254-5653
Mailing Address - Fax:877-519-9596
Practice Address - Street 1:3214 50TH ST CT NW
Practice Address - Street 2:SUITE 203
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335
Practice Address - Country:US
Practice Address - Phone:253-254-5653
Practice Address - Fax:877-519-9596
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019867174400000X, 225700000X
WA60423749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No174400000XOther Service ProvidersSpecialist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1649324161OtherNPI
WA1649324161OtherNPI
WA0007530738Medicare UPIN
WA3142571000Medicare UPIN