Provider Demographics
NPI:1285244640
Name:CHI, SONGTING (LMT)
Entity type:Individual
Prefix:
First Name:SONGTING
Middle Name:
Last Name:CHI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SONGTING
Other - Middle Name:
Other - Last Name:CHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:4814 240TH PL SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-6598
Mailing Address - Country:US
Mailing Address - Phone:214-661-0939
Mailing Address - Fax:
Practice Address - Street 1:4814 240TH PL SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98029-6598
Practice Address - Country:US
Practice Address - Phone:214-661-0939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-31
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61085756225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist