Healthcare Provider Details

I. General information

NPI: 1366355158
Provider Name (Legal Business Name): CHENG HO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18915 E APPLEWAY AVE STE A101
SPOKANE VALLEY WA
99016-8856
US

IV. Provider business mailing address

6110 E 6TH AVE APT I1
SPOKANE VALLEY WA
99212-0413
US

V. Phone/Fax

Practice location:
  • Phone: 509-210-4978
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.OT.70093277
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: