Healthcare Provider Details

I. General information

NPI: 1205607066
Provider Name (Legal Business Name): CHERRY LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 05/11/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 S EDDY ST
SEATTLE WA
98118-3136
US

IV. Provider business mailing address

7239 33RD AVE S
SEATTLE WA
98118-3507
US

V. Phone/Fax

Practice location:
  • Phone: 206-709-4006
  • Fax:
Mailing address:
  • Phone: 206-696-4407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA61494002
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: