Healthcare Provider Details

I. General information

NPI: 1609770080
Provider Name (Legal Business Name): PEACEFUL HEART ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 S UNION AVE STE 2
TACOMA WA
98405-1992
US

IV. Provider business mailing address

1502 S UNION AVE STE 2
TACOMA WA
98405-1992
US

V. Phone/Fax

Practice location:
  • Phone: 206-293-2774
  • Fax: 253-627-7512
Mailing address:
  • Phone: 206-293-2774
  • Fax: 253-627-7512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JODY RUHBERG
Title or Position: OWNER/PROVIDER
Credential: LAC
Phone: 206-293-2774