MEDICARE: ARIEL M SACHER LAC, AEMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC60928311	WA

General Provider Information

NPI Number	:	1568045862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL M SACHER LAC, AEMP

Provider Business Mailing Address
First Line	:	21901 58TH AVE W APT D
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-3161
Country	:	US
Telephone Number	:	320-630-9594
Fax Number	:

Provider Business Practice Location Address
First Line	:	12025 LAKE CITY WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5331
Country	:	US
Telephone Number	:	206-363-0471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	05/04/2021

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