Healthcare Provider Details

I. General information

NPI: 1649635962
Provider Name (Legal Business Name): YUEH-CHIEN CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 12/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9910 BELLEVILLE RD
BELLEVILLE MI
48111-1389
US

IV. Provider business mailing address

41172 NORTHWIND DR
CANTON MI
48188-1313
US

V. Phone/Fax

Practice location:
  • Phone: 734-259-9776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501002166
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: