Healthcare Provider Details

I. General information

NPI: 1730077272
Provider Name (Legal Business Name): MEIFANG YAO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 NE BEL RED RD STE 4
BELLEVUE WA
98005-2359
US

IV. Provider business mailing address

14050 SE 17TH PL APT G2
BELLEVUE WA
98007-6033
US

V. Phone/Fax

Practice location:
  • Phone: 425-504-6566
  • Fax:
Mailing address:
  • Phone: 626-417-8769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60714412
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: