Healthcare Provider Details
I. General information
NPI: 1588539316
Provider Name (Legal Business Name): TREAT PRO MASSAGE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8206 LEESBURG PIKE STE 309
VIENNA VA
22182-2614
US
IV. Provider business mailing address
1639 WESTWIND WAY
MC LEAN VA
22102-1603
US
V. Phone/Fax
- Phone: 571-405-9779
- Fax:
- Phone: 571-405-9779
- 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:
ZHUN
LI
KAIPAT
Title or Position: OWNER
Credential: LMT
Phone: 571-405-9779