Healthcare Provider Details

I. General information

NPI: 1942123625
Provider Name (Legal Business Name): YOSSI HENDERSON MASS.MA.70146931
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16720 116TH AVE SE STE B-5
RENTON WA
98058-5277
US

IV. Provider business mailing address

234 S 15TH ST
RENTON WA
98055-3359
US

V. Phone/Fax

Practice location:
  • Phone: 425-277-1123
  • Fax: 425-277-1123
Mailing address:
  • Phone: 425-277-1123
  • Fax: 425-277-0445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: