Healthcare Provider Details

I. General information

NPI: 1740406743
Provider Name (Legal Business Name): KRISTEN ALLOTT ND, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 04/07/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 S G ST
TACOMA WA
98405-4711
US

IV. Provider business mailing address

2522 N PROCTOR ST PMB 116
TACOMA WA
98406-5338
US

V. Phone/Fax

Practice location:
  • Phone: 206-579-2757
  • Fax:
Mailing address:
  • Phone: 206-579-2757
  • Fax: 844-709-9817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2515
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1176
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: