Healthcare Provider Details

I. General information

NPI: 1881559193
Provider Name (Legal Business Name): QUAN WEI LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9013 SILVERSPOT DR SE
TUMWATER WA
98501-5575
US

IV. Provider business mailing address

9013 SILVERSPOT DR SE
TUMWATER WA
98501-5575
US

V. Phone/Fax

Practice location:
  • Phone: 425-777-5666
  • Fax:
Mailing address:
  • Phone: 425-777-5666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: