Healthcare Provider Details

I. General information

NPI: 1740460716
Provider Name (Legal Business Name): ACUPUNCTURE HEALTH WORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3221 EASTLAKE AVE E SUITE 120
SEATTLE WA
98102-7125
US

IV. Provider business mailing address

PO BOX 20385
SEATTLE WA
98102-1385
US

V. Phone/Fax

Practice location:
  • Phone: 206-375-3689
  • Fax: 206-957-4552
Mailing address:
  • Phone: 206-375-3689
  • Fax: 206-957-4552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002299
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00017471
License Number StateWA

VIII. Authorized Official

Name: ALICIA MASIULIS
Title or Position: PRESIDENT
Credential: LAC, LMP
Phone: 206-375-3689