1003422569 NPI number — MS. REEYANANA SALET CHA MASSAGE THERAPIST

Table of content: MS. REEYANANA SALET CHA MASSAGE THERAPIST (NPI 1003422569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003422569 NPI number — MS. REEYANANA SALET CHA MASSAGE THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHA
Provider First Name:
REEYANANA
Provider Middle Name:
SALET
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MASSAGE THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003422569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2760 PRINCETON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKFIELD
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53005-3845
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-751-4926
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12201 W BURLEIGH ST STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53222-3102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-751-4936
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  4818-146 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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