Healthcare Provider Details

I. General information

NPI: 1164213617
Provider Name (Legal Business Name): CHING-MEI LIOU PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13215 SE 240TH ST STE D
KENT WA
98042-5120
US

IV. Provider business mailing address

PO BOX 5718
KALISPELL MT
59903-5718
US

V. Phone/Fax

Practice location:
  • Phone: 253-631-3026
  • Fax: 253-631-3899
Mailing address:
  • Phone: 406-756-0134
  • Fax: 406-300-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1164213617
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: