=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740319433
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CASEY MARGARET MCSWEYN MAC., LAC.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2007
-----------------------------------------------------
Last Update Date | 11/15/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5607 KEYSTONE PL N STE A
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98103-5963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-632-0725
-----------------------------------------------------
Fax | 206-319-4586
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5607 KEYSTONE PL N STE A
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98103-5963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-632-0725
-----------------------------------------------------
Fax | 206-319-4586
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC00002236
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------