Healthcare Provider Details

I. General information

NPI: 1821290867
Provider Name (Legal Business Name): EAST-WEST WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 LATONA AVE NE
SEATTLE WA
98115-4055
US

IV. Provider business mailing address

8250 LATONA AVE NE
SEATTLE WA
98115-4055
US

V. Phone/Fax

Practice location:
  • Phone: 206-528-2954
  • Fax: 206-522-4749
Mailing address:
  • Phone: 206-528-2954
  • Fax: 206-522-4749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT5158
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberMA3648
License Number StateWA

VIII. Authorized Official

Name: MS. KATHERINE S. YANO
Title or Position: OWNER
Credential: P.T.
Phone: 206-528-2954