MEDICARE: THE ZEN OF HEALING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC2826	WA

General Provider Information

NPI Number	:	1760983282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ZEN OF HEALING

Provider Business Mailing Address
First Line	:	9500 ROOSEVELT WAY NE STE 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2253
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 ROOSEVELT WAY NE STE 301
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2253
Country	:	US
Telephone Number	:	206-696-1121
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID TUCKER
Credential	:	MSAOM, L.AC, LMT
Telephone Number	:	206-696-1121

Provider Enumeration Date	:	02/21/2018
Last Update Date	:	02/21/2018

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Directions to “THE ZEN OF HEALING ” Practice Location

Language	Start Address	Practice Location

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