Healthcare Provider Details

I. General information

NPI: 1366374548
Provider Name (Legal Business Name): ZU YONG YANG LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 122ND AVE NE STE A
BELLEVUE WA
98005-3146
US

IV. Provider business mailing address

729 122ND AVE NE STE A
BELLEVUE WA
98005-3146
US

V. Phone/Fax

Practice location:
  • Phone: 425-699-2081
  • Fax:
Mailing address:
  • Phone: 425-699-2081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60625049
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: