Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 60355827 | WA |
NPI | 1013308493 |
---|---|
Provider Name | Shaobai Zhang |
First Address | Seattle, WA 98104-2937 |
Second Address | Seattle, WA 98104-2937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2015 |
Last Update Date | 06/02/2015 |