Healthcare Provider Details

I. General information

NPI: 1538078845
Provider Name (Legal Business Name): SHINE AESTHETIC SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 124TH AVE NE STE C201
BELLEVUE WA
98005-2118
US

IV. Provider business mailing address

2020 124TH AVE NE STE C201
BELLEVUE WA
98005-2118
US

V. Phone/Fax

Practice location:
  • Phone: 209-696-8888
  • Fax:
Mailing address:
  • Phone: 209-696-8888
  • 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: MS. YANAN ZHOU
Title or Position: MASSAGE THERAPIST LICENSE
Credential:
Phone: 425-598-1111