Provider Demographics
NPI:1811620149
Name:CHEN, YUQI (LMT)
Entity Type:Individual
Prefix:
First Name:YUQI
Middle Name:
Last Name:CHEN
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 1:402 16TH ST NE # A-105
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-1600
Mailing Address - Country:US
Mailing Address - Phone:206-694-1775
Mailing Address - Fax:
Practice Address - Street 1:402 16TH ST NE # A-105
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-1600
Practice Address - Country:US
Practice Address - Phone:206-694-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60809625225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA60809625OtherLICENSED MASSAGE THERAPIST