Healthcare Provider Details

I. General information

NPI: 1427920206
Provider Name (Legal Business Name): ZHENG-CHUN WU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MEI GONG MA60671991

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7136 MARTIN LUTHER KING JR WAY S STE 201
SEATTLE WA
98118-3526
US

IV. Provider business mailing address

7136 MARTIN LUTHER KING JR WAY S STE 201
SEATTLE WA
98118-3526
US

V. Phone/Fax

Practice location:
  • Phone: 206-353-4181
  • Fax: 206-708-6214
Mailing address:
  • Phone: 206-353-4181
  • Fax: 206-708-6214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMA60494362
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60494362
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: