Healthcare Provider Details

I. General information

NPI: 1114883790
Provider Name (Legal Business Name): HUI HSIA CHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIKI CHOU LMT

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2923 SAN MATEO BLVD NE STE A
ALBUQUERQUE NM
87110-3168
US

IV. Provider business mailing address

2923 SAN MATEO BLVD NE STE A
ALBUQUERQUE NM
87110-3168
US

V. Phone/Fax

Practice location:
  • Phone: 505-504-9619
  • Fax:
Mailing address:
  • Phone: 505-504-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT7930
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: