Healthcare Provider Details

I. General information

NPI: 1306707690
Provider Name (Legal Business Name): LIXIU HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 W SAHARA AVE STE A206
LAS VEGAS NV
89146-2812
US

IV. Provider business mailing address

6655 W SAHARA AVE STE A206
LAS VEGAS NV
89146-2812
US

V. Phone/Fax

Practice location:
  • Phone: 702-202-3383
  • Fax:
Mailing address:
  • Phone: 702-202-3383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberNVMT.2252
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: