Healthcare Provider Details

I. General information

NPI: 1093635245
Provider Name (Legal Business Name): NORA BEAUTY SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14400 NE BEL RED RD STE 203
BELLEVUE WA
98007-3952
US

IV. Provider business mailing address

14400 NE BEL RED RD STE 203
BELLEVUE WA
98007-3952
US

V. Phone/Fax

Practice location:
  • Phone: 206-928-3543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: YUANXIAN LI
Title or Position: OWNER
Credential:
Phone: 206-928-3543