Healthcare Provider Details

I. General information

NPI: 1508519539
Provider Name (Legal Business Name): ZHONGYI TUINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 112TH AVE NE STE 201B
BELLEVUE WA
98004-2952
US

IV. Provider business mailing address

2223 112TH AVE NE STE 201B
BELLEVUE WA
98004-2952
US

V. Phone/Fax

Practice location:
  • Phone: 206-979-3326
  • 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: WENCHENG HAN
Title or Position: LMT
Credential:
Phone: 206-979-3326