MEDICARE: MAY YING CHAU L.M.T

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
2	225700000X	Massage Therapist	7271	OR

General Provider Information

NPI Number	:	1528529971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAY YING CHAU L.M.T

Provider Business Mailing Address
First Line	:	7 RAINBOW RD
Second Line	:
City	:	EDGEWOOD
State	:	NM
Zip	:	87015-9522
Country	:	US
Telephone Number	:	541-740-5028
Fax Number	:

Provider Business Practice Location Address
First Line	:	12220 HWY 14 N STE 4
Second Line	:
City	:	CEDAR CREST
State	:	NM
Zip	:	87008-9407
Country	:	US
Telephone Number	:	505-226-3893
Fax Number	:

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

Provider Enumeration Date	:	03/28/2019
Last Update Date	:	03/28/2019

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Directions to “ MAY YING CHAU L.M.T” Practice Location

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