Healthcare Provider Details

I. General information

NPI: 1811872955
Provider Name (Legal Business Name): DR CHI WU PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E CHARLESTON BLVD STE 107
LAS VEGAS NV
89104-6666
US

IV. Provider business mailing address

3100 E CHARLESTON BLVD STE 107
LAS VEGAS NV
89104-6666
US

V. Phone/Fax

Practice location:
  • Phone: 702-333-1848
  • Fax: 702-586-8823
Mailing address:
  • Phone: 702-333-1848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHI WU
Title or Position: OWNER
Credential: DC
Phone: 702-333-1848