Doctor Name: | BENITA CHUNG |
NPI Number: | 1710121884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MAT-7532 |
Business Practice Address: | 98-027 Hekaha St #44 Aiea, HI - 967014910 |
Business Phone Number: | 8083491531 |
Business Fax Number: | 8084885313 |
Mailing Address: | 98-027 Hekaha St, #44 AIEA |
State: | HI |
Postal Code: | 967014910 |
Phone Number: | 8083491531 |
Fax Number: | 8084885313 |
NPI Enumeration Date: | 04/21/2009 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MAT-7532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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. |