Provider Demographics
NPI:1710640487
Name:ZHANG, MINGE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:MINGE
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12611 NORTHUP WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1969
Mailing Address - Country:US
Mailing Address - Phone:425-518-7653
Mailing Address - Fax:
Practice Address - Street 1:12611 NORTHUP WAY STE 210
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1969
Practice Address - Country:US
Practice Address - Phone:425-518-7653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60677324225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist