Provider Demographics
NPI:1598386963
Name:YU, RUIXIA (LMT)
Entity Type:Individual
Prefix:
First Name:RUIXIA
Middle Name:
Last Name:YU
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 1:15350 SE 37TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1732
Mailing Address - Country:US
Mailing Address - Phone:206-408-4861
Mailing Address - Fax:206-408-4862
Practice Address - Street 1:15350 SE 37TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1732
Practice Address - Country:US
Practice Address - Phone:206-408-4861
Practice Address - Fax:206-408-4862
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60468880225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist