Healthcare Provider Details

I. General information

NPI: 1245535327
Provider Name (Legal Business Name): SOPHIE KAORU KING LMP, L.AC, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12717 4TH AVE W STE C3
EVERETT WA
98204-6466
US

IV. Provider business mailing address

7401 55TH AVE NE
MARYSVILLE WA
98270-4049
US

V. Phone/Fax

Practice location:
  • Phone: 425-347-2308
  • Fax:
Mailing address:
  • Phone: 602-799-1435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC61622624
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60204100
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: