Provider Demographics
NPI:1013308493
Name:ZHANG, SHAOBAI (LMP)
Entity Type:Individual
Prefix:
First Name:SHAOBAI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 S KING ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2937
Mailing Address - Country:US
Mailing Address - Phone:206-292-9646
Mailing Address - Fax:206-292-9650
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:206-292-9650
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60355827225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist