MEDICARE: MISS HONG LI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA60354077	WA

General Provider Information

NPI Number	:	1174333108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS HONG LI

Provider Business Mailing Address
First Line	:	845 N 153RD PL
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98133-6106
Country	:	US
Telephone Number	:	425-330-0809
Fax Number	:

Provider Business Practice Location Address
First Line	:	2908 1ST AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1009
Country	:	US
Telephone Number	:	425-330-0809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2025
Last Update Date	:	01/11/2025

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Directions to “ MISS HONG LI ” Practice Location

Language	Start Address	Practice Location

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