Healthcare Provider Details

I. General information

NPI: 1225409006
Provider Name (Legal Business Name): STARTING POINT ACUPUNCTURE AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18223 102ND AVE NE STE A
BOTHELL WA
98011-3454
US

IV. Provider business mailing address

18484 47TH PL NE
LAKE FOREST PARK WA
98155-4354
US

V. Phone/Fax

Practice location:
  • Phone: 425-686-4498
  • Fax:
Mailing address:
  • Phone: 425-686-4498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60414966
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60414858
License Number StateWA

VIII. Authorized Official

Name: DR. ELDA HEINTZE
Title or Position: OWNER/PRACTITIONER
Credential: ND, LAC
Phone: 425-686-4498