Healthcare Provider Details

I. General information

NPI: 1649063439
Provider Name (Legal Business Name): XIAOQIN LIANG MA 60524345
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. XIAOQIN LIANG

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19827 3RD AVE SE
BOTHELL WA
98012-6273
US

IV. Provider business mailing address

12729 NORTHUP WAY STE 1
BELLEVUE WA
98005-1935
US

V. Phone/Fax

Practice location:
  • Phone: 425-598-9829
  • Fax:
Mailing address:
  • Phone: 206-468-8667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number60524345
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: