Healthcare Provider Details

I. General information

NPI: 1326398686
Provider Name (Legal Business Name): MICHELLE LYNN ROLFS LAC, EAMP, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS MICHELLE LYNN WERT

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 WESTLAKE AVE N STE 100
SEATTLE WA
98109-1968
US

IV. Provider business mailing address

16608 15TH AVE NE
SHORELINE WA
98155-5918
US

V. Phone/Fax

Practice location:
  • Phone: 206-387-2063
  • Fax:
Mailing address:
  • Phone: 206-295-5337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60855996
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60270868
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: