Doctor Name: | CHIKA ROBERTS |
NPI Number: | 1447525365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.P. |
License Number: | MA60089612 |
Business Practice Address: | 16810 108th Ave Se Renton, WA - 980555413 |
Business Phone Number: | 4252270111 |
Business Fax Number: | 4252282583 |
Mailing Address: | 27312 107th Pl Se, KENT |
State: | WA |
Postal Code: | 980307065 |
Phone Number: | 2064093537 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2012 |
NPI Last Update Date: | 05/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60089612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |