Individual
HUA TIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12004 W 100TH ST, LENEXA, KS 66215-1942
(626) 586-9703
Mailing address
11401 NW 12TH ST, MIAMI, FL 33172-6904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K04098651
NO INSURANCE
KS
Enumeration date
01/18/2021
Last updated
01/18/2021
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