Healthcare Provider Details

I. General information

NPI: 1467781237
Provider Name (Legal Business Name): TERESA KATHLEEN SAVARINO L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2009
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 9TH AVE NE STE 300
SEATTLE WA
98105-4762
US

IV. Provider business mailing address

15828 32ND AVE NE
LAKE FOREST PARK WA
98155-6533
US

V. Phone/Fax

Practice location:
  • Phone: 206-414-9590
  • Fax:
Mailing address:
  • Phone: 206-914-1534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60105888
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: