Provider Demographics
NPI:1174492102
Name:CHANG-FLORES, ALLYSON (LMT)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:CHANG-FLORES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 4TH AVE N UNIT 201
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2050
Mailing Address - Country:US
Mailing Address - Phone:808-372-0300
Mailing Address - Fax:
Practice Address - Street 1:620 S ORCAS ST UNIT 80861
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4655
Practice Address - Country:US
Practice Address - Phone:808-372-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-14454225700000X
WAMASS.MA.60943924225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist