Healthcare Provider Details

I. General information

NPI: 1215849781
Provider Name (Legal Business Name): RECHIE YAOYAO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23303 58TH AVE W
MOUNTLAKE TERRACE WA
98043-4600
US

IV. Provider business mailing address

1335 STRASSNER DR
BRENTWOOD MO
63144-1872
US

V. Phone/Fax

Practice location:
  • Phone: 425-490-7273
  • Fax: 425-659-2742
Mailing address:
  • Phone: 877-367-9772
  • Fax: 314-230-9732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberP161037560
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: