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PA Chia Thao

Massage Therapist in Mendota Heights, MN. Individual provider (NPI-1).

NPI number1013779552
StatusActive
Last updated in NPPESJan 30, 2024

Details

NPI
1013779552
Entity type
Individual (NPI-1)
Name
PA Chia Thao
Sex
Female
Sole proprietor
No
Enumeration date
Jan 30, 2024
Certification date
Jan 29, 2024
Last updated
Jan 30, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

776 N Plaza Dr
Mendota Heights, MN 55120-1509

Phone 651-964-3445

Mailing address

776 N Plaza Dr
Mendota Heights, MN 55120-1509

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Massage Therapist providers in Mendota Heights, MN

All 8 Massage Therapist providers in Mendota Heights · All 629 providers in Mendota Heights

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