Healthcare Provider Details
I. General information
NPI: 1184514234
Provider Name (Legal Business Name): YUXIA LI
Entity Type: Individual
Gender:
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3640 OCEE ST
HOUSTON TX
77063-5448
US
IV. Provider business mailing address
3640 OCEE ST
HOUSTON TX
77063-5448
US
V. Phone/Fax
- Phone: 346-319-9881
- Fax:
- Phone: 346-319-9881
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: