Healthcare Provider Details
I. General information
NPI: 1801231865
Provider Name (Legal Business Name): IN TUNE HEALING ARTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2013
Last Update Date: 05/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3876 BRIDGE WAY N SUITE 202
SEATTLE WA
98103-7951
US
IV. Provider business mailing address
3876 BRIDGE WAY N SUITE 202
SEATTLE WA
98103-7951
US
V. Phone/Fax
- Phone: 206-398-9176
- Fax: 206-322-4461
- Phone: 206-398-9176
- Fax: 206-322-4461
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC60271379 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | NT60271374 |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
JENNIFER
KALTUNAS
Title or Position: OWNER
Credential: ND, EAMP
Phone: 206-398-9176