Individual
XUAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271
(360) 454-1945
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0016590
CO
2251S0007X
Sports Physical Therapist
Primary
PT61371687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0016590
PHYSICAL THERAPIST LICENSE
CO
Enumeration date
09/23/2019
Last updated
01/13/2023
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