MEDICARE: HAIYAN CHEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MSG010433	PA

General Provider Information

NPI Number	:	1043994783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAIYAN CHEN

Provider Business Mailing Address
First Line	:	981 N WALES RD STE 2
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1422
Country	:	US
Telephone Number	:	215-821-7772
Fax Number	:

Provider Business Practice Location Address
First Line	:	981 N WALES RD STE 2
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1422
Country	:	US
Telephone Number	:	215-821-7772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2023
Last Update Date	:	06/13/2023

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Directions to “ HAIYAN CHEN ” Practice Location

Language	Start Address	Practice Location

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