Healthcare Provider Details

I. General information

NPI: 1073201778
Provider Name (Legal Business Name): YIFEI XIAO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/01/2023
Certification Date: 04/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 NW MARKET ST
SEATTLE WA
98107-5815
US

IV. Provider business mailing address

1545 NW MARKET ST APT 804
SEATTLE WA
98107-5260
US

V. Phone/Fax

Practice location:
  • Phone: 206-706-0063
  • Fax:
Mailing address:
  • Phone: 531-329-9996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number61387069
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: