Provider Demographics
NPI:1649907932
Name:CUNHA, CHAIZ ARROW (CMT)
Entity type:Individual
Prefix:
First Name:CHAIZ
Middle Name:ARROW
Last Name:CUNHA
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:CHAIZ
Other - Middle Name:ARROW
Other - Last Name:MCDANIEL, PADILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2857 VIA CARMEN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-1443
Mailing Address - Country:US
Mailing Address - Phone:408-502-4999
Mailing Address - Fax:
Practice Address - Street 1:5671 SANTA TERESA BLVD STE 103
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-6515
Practice Address - Country:US
Practice Address - Phone:408-502-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86582225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist