NPI 1174093819 · live from the CMS NPI Registry
Patricia A Chicka, LMT
Massage Therapist in Washington, DC. National Provider Identifier 1174093819, active.
NPI record
| NPI | 1174093819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 5603 16th St Nw # B, Washington, DC 20011 |
| Practice phone | 724-689-4800 |
| Enumerated | November 26, 2018 |
| Last updated | November 26, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MSG009998 (PA) |
| Massage Therapist primary | 225700000X | MT2344 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.