Healthcare Provider Details

I. General information

NPI: 1477374650
Provider Name (Legal Business Name): GOLDEN NEEDLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 W HASTINGS RD STE A110
SPOKANE WA
99218-5021
US

IV. Provider business mailing address

2017 E DALKE AVE
SPOKANE WA
99208-2717
US

V. Phone/Fax

Practice location:
  • Phone: 509-842-6172
  • Fax:
Mailing address:
  • Phone: 509-842-6172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE NUNNELEE
Title or Position: OWNER
Credential: EAMP, LAC
Phone: 509-842-6172