Most Relevant Information
Provider Data
| NPI Number: | 1003413048 |
| Provider Name: | IZUMI Y MASAKI LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA60464289 |
Most Important Dates
| Enumeration Date: | 10/02/2020 |
| Last Updated: | 10/02/2020 |
Provider Practice Location
606 120TH AVE NE BLDG D STE 100
BELLEVUE
WA
980059800
Practice Location Phone/Fax
| Phone: | 4256880223 |
| Fax: |
Provider Mailing Location
15 SW EVERETT MALL WAY STE G
EVERETT
WA
982042715
Provider Mailing Phone/Fax
| Phone: | 4253555231 |
| Fax: | 4253555231 |