IndividualActive
Changlong Su
NPI 1669181855 · Massage Therapist · Bellevue, WA
Provider details
- NPI number
- 1669181855
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA61012197 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12505 Ne Bel Red Rd Ste 188
Bellevue, WA 98005-2510
Phone: (425) 687-2707
Fax: (206) 309-9063
Approximate (ZIP-level) locationGet directions
Mailing address
17631 115th Pl Se
Renton, WA 98055-5236
Registry dates
- Enumerated
- 2022-11-16
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.