Healthcare Provider Details

I. General information

NPI: 1417169129
Provider Name (Legal Business Name): JULIETA CHING KHO PT, AP, DOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 26TH ST SUITE 5
VERO BEACH FL
32960-3330
US

IV. Provider business mailing address

1166 6TH AVE UNIT 16-A
VERO BEACH FL
32960-5900
US

V. Phone/Fax

Practice location:
  • Phone: 772-713-5031
  • Fax:
Mailing address:
  • Phone: 772-562-2948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 2138
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 9188
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: