Healthcare Provider Details

I. General information

NPI: 1992671101
Provider Name (Legal Business Name): XIAOXUE ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14715 NE BEL RED RD STE 201
BELLEVUE WA
98007-3940
US

IV. Provider business mailing address

18731 22ND DR SE
BOTHELL WA
98012-8729
US

V. Phone/Fax

Practice location:
  • Phone: 425-484-9023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60830310
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: