Provider Demographics
NPI:1063123651
Name:HUIE, YEE WAH EVA EVA (LMT, CMT, CLT)
Entity type:Individual
Prefix:
First Name:YEE WAH EVA
Middle Name:EVA
Last Name:HUIE
Suffix:
Gender:F
Credentials:LMT, CMT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35127 FOREST LN
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-3110
Mailing Address - Country:US
Mailing Address - Phone:646-220-2138
Mailing Address - Fax:
Practice Address - Street 1:799 E GREEN ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2117
Practice Address - Country:US
Practice Address - Phone:646-220-2138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022192225700000X
CA77124225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist