Healthcare Provider Details

I. General information

NPI: 1932908951
Provider Name (Legal Business Name): ALPINE TCM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12006 98TH AVE NE STE 103
KIRKLAND WA
98034-4218
US

IV. Provider business mailing address

2528 241ST PL SW
BRIER WA
98036-8427
US

V. Phone/Fax

Practice location:
  • Phone: 425-448-9619
  • Fax: 425-448-9455
Mailing address:
  • Phone: 425-830-0358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. NICHOLE MICHELLE SANTORO
Title or Position: OWNER
Credential: LAC
Phone: 425-830-0358