Healthcare Provider Details

I. General information

NPI: 1134929557
Provider Name (Legal Business Name): JOSHUA HEHE LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 STATE AVE STE 208
MARYSVILLE WA
98270-4557
US

IV. Provider business mailing address

20021 LITTLE BEAR CREEK RD
WOODINVILLE WA
98072-8360
US

V. Phone/Fax

Practice location:
  • Phone: 425-319-7588
  • Fax:
Mailing address:
  • Phone: 425-319-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number60100122
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: