Healthcare Provider Details

I. General information

NPI: 1225206667
Provider Name (Legal Business Name): HUAI CHUN YAO LIC. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A BETTER BODY 1223 BEACON ST - #D
BROOKLINE MA
02446
US

IV. Provider business mailing address

A BETTER BODY 1223 BEACON ST., SUITE D
BROOKLINE MA
02446
US

V. Phone/Fax

Practice location:
  • Phone: 617-738-2288
  • Fax:
Mailing address:
  • Phone: 617-738-2288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number579
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: