MEDICARE: ANDREW YOUNG KIM LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA61583974	WA

General Provider Information

NPI Number	:	1902752330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW YOUNG KIM LMT

Provider Business Mailing Address
First Line	:	2534 SW 353RD PL
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98422-3341
Country	:	US
Telephone Number	:	206-707-2646
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 N 34TH ST STE B
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3403
Country	:	US
Telephone Number	:	206-558-2918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ ANDREW YOUNG KIM LMT” Practice Location

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