Provider Demographics
NPI:1053070011
Name:XIAO, YI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:YI
Middle Name:
Last Name:XIAO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4649 89TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-4425
Mailing Address - Country:US
Mailing Address - Phone:425-974-5689
Mailing Address - Fax:
Practice Address - Street 1:663 S KING ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2937
Practice Address - Country:US
Practice Address - Phone:206-292-9646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist