Active NPI
Rachel Y Han, LMP
- Massage Therapist
- Lynnwood, WA
National Provider Identifier
1275761140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60097040
- Practice address
- 19514 64TH Ave W Ste B
Lynnwood, WA 98036-5190 - Phone
- (425) 590-7780
- NPI assigned
- Jun 30, 2009
- Last updated
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60097040 | WA | Primary |
Addresses
Primary practice location
19514 64TH Ave W Ste B
Lynnwood, WA 98036-5190
Mailing address
2527 141St PL SW # B
Lynnwood, WA 98087-5691
Phone (425) 590-7780
Other practice location 1
3715 Factoria Blvd SE
Bellevue, WA 98006-6131
Phone (425) 590-7780
Other names 1
- Young Ran Han
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60097040 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1275761140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 141ST PL SW # B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980875691",
"telephone_number": "425-590-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19514 64TH AVE W STE B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365190",
"telephone_number": "425-590-7780"
}
],
"practiceLocations": [
{
"address_1": "3715 Factoria Blvd SE",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980066131",
"country_code": "US",
"telephone_number": "425-590-7780",
"fax_number": "425-673-5122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAN",
"first_name": "RACHEL",
"middle_name": "Y",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60097040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOUNG RAN",
"last_name": "HAN",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.