Healthcare Provider Details

I. General information

NPI: 1932477551
Provider Name (Legal Business Name): DAOHUI CHEN MT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 JACKSON ST
LOWELL MA
01852-2103
US

IV. Provider business mailing address

585-597 MERRIMACK ST.
LOWELL MA
01854-3908
US

V. Phone/Fax

Practice location:
  • Phone: 978-441-1700
  • Fax: 978-454-1681
Mailing address:
  • Phone: 978-746-7862
  • Fax: 978-275-9890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number3778
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: