Provider Demographics
NPI:1700765781
Name:CHAI, CHRIS WAI CHONG
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:WAI CHONG
Last Name:CHAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-119 AELOA ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4003
Mailing Address - Country:US
Mailing Address - Phone:808-258-7581
Mailing Address - Fax:
Practice Address - Street 1:7192 KALANIANAOLE HWY STE E206
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1849
Practice Address - Country:US
Practice Address - Phone:808-425-7092
Practice Address - Fax:808-200-3607
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8778225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist