Provider Demographics
NPI:1174877690
Name:DR MICHAEL LI PLLC
Entity type:Organization
Organization Name:DR MICHAEL LI PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-441-2505
Mailing Address - Street 1:2200 6TH AVE
Mailing Address - Street 2:SUITE 832
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1896
Mailing Address - Country:US
Mailing Address - Phone:206-441-2505
Mailing Address - Fax:
Practice Address - Street 1:2200 6TH AVE
Practice Address - Street 2:SUITE 832
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1896
Practice Address - Country:US
Practice Address - Phone:206-441-2505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60133937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty