Provider Demographics
NPI:1154562106
Name:DING, NING (DPT, LAC)
Entity type:Individual
Prefix:MRS
First Name:NING
Middle Name:
Last Name:DING
Suffix:
Gender:F
Credentials:DPT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NORIEGA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4543
Mailing Address - Country:US
Mailing Address - Phone:415-609-8619
Mailing Address - Fax:
Practice Address - Street 1:2717 JUDAH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1433
Practice Address - Country:US
Practice Address - Phone:415-609-8619
Practice Address - Fax:415-661-0826
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12959171100000X
CAPT295452225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist