Healthcare Provider Details

I. General information

NPI: 1013806397
Provider Name (Legal Business Name): DANIELLE OKULY LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3317 SW HINDS ST
SEATTLE WA
98126-2339
US

IV. Provider business mailing address

3317 SW HINDS ST
SEATTLE WA
98126-2339
US

V. Phone/Fax

Practice location:
  • Phone: 206-724-1959
  • Fax:
Mailing address:
  • Phone: 206-724-1959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACUP.AC.70003746
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: