Active NPI
Yulei Liu
- Massage Therapist
- Kenmore, WA
National Provider Identifier
1366204299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60836236
- Practice address
- 6016 NE Bothell Way Ste B
Kenmore, WA 98028-9403 - Phone
- (360) 916-8080
- NPI assigned
- Jan 25, 2024
- Last updated
- Jan 25, 2024
- 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 | MA60836236 | WA | Primary |
Addresses
Primary practice location
6016 NE Bothell Way Ste B
Kenmore, WA 98028-9403
Mailing address
12419 21St Ave SE
Everett, WA 98208-6517
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 |
|---|---|---|---|
| MA60836236 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1366204299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12419 21ST AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6016 NE BOTHELL WAY STE B",
"city": "KENMORE",
"state": "WA",
"postal_code": "980289403",
"telephone_number": "360-916-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "YULEI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60836236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.