Healthcare Provider Details

I. General information

NPI: 1548175615
Provider Name (Legal Business Name): LUMINA PELVIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 35TH AVE NE STE 11
SEATTLE WA
98115-7344
US

IV. Provider business mailing address

112B NE 180TH ST
SHORELINE WA
98155-3547
US

V. Phone/Fax

Practice location:
  • Phone: 206-202-7575
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEI LIN YANG
Title or Position: OWNER
Credential: PT, DPT
Phone: 914-920-8789