Healthcare Provider Details

I. General information

NPI: 1831093723
Provider Name (Legal Business Name): DANYANG WANG LMT70113664
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 FREMONT AVE N STE 209
SEATTLE WA
98103-8753
US

IV. Provider business mailing address

14661 NE 35TH ST
BELLEVUE WA
98007-3530
US

V. Phone/Fax

Practice location:
  • Phone: 206-902-6728
  • Fax:
Mailing address:
  • Phone: 206-902-6728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70113664
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: