Healthcare Provider Details

I. General information

NPI: 1508048794
Provider Name (Legal Business Name): JOSHUA LEAHY ND, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 NE 125TH ST SUITE 240
SEATTLE WA
98125-4373
US

IV. Provider business mailing address

2611 NE 125TH ST SUITE 240
SEATTLE WA
98125-4373
US

V. Phone/Fax

Practice location:
  • Phone: 206-708-7172
  • Fax: 206-913-2568
Mailing address:
  • Phone: 206-708-7172
  • Fax: 206-913-2568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00003060
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001607
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: