Healthcare Provider Details

I. General information

NPI: 1598677635
Provider Name (Legal Business Name): QINGXIA HOU LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 NW MALL ST UNIT A
ISSAQUAH WA
98027-8959
US

IV. Provider business mailing address

PO BOX 594
HOBART WA
98025-0594
US

V. Phone/Fax

Practice location:
  • Phone: 425-557-8787
  • Fax:
Mailing address:
  • Phone: 425-766-3015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70018953
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: