Provider Demographics
NPI:1386264968
Name:LI, DAQIN (LMT)
Entity type:Individual
Prefix:
First Name:DAQIN
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:DAQIN
Other - Middle Name:LI
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:1961 WINCHESTER RD NE STE A
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-7101
Mailing Address - Country:US
Mailing Address - Phone:256-885-5008
Mailing Address - Fax:
Practice Address - Street 1:1961 WINCHESTER RD NE STE A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-7101
Practice Address - Country:US
Practice Address - Phone:256-885-5008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4717225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty