MEDICARE: CAILING CHEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WM1400X	Nurse Massage Therapist (NMT)	0019015517	VA

General Provider Information

NPI Number	:	1326827973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAILING CHEN

Provider Business Mailing Address
First Line	:	1333 HARPERS RD STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5565
Country	:	US
Telephone Number	:	757-383-4904
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 HARPERS RD STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5565
Country	:	US
Telephone Number	:	757-383-4904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	02/08/2024

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Directions to “ CAILING CHEN ” Practice Location

Language	Start Address	Practice Location

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