MEDICARE: INNER TRANQUIL ACUPUNCTURE

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

General Provider Information

NPI Number	:	1881544005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER TRANQUIL ACUPUNCTURE

Provider Business Mailing Address
First Line	:	3328 NE 125TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3328 NE 125TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4519
Country	:	US
Telephone Number	:	425-412-0468
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAEYOUNG KIM
Credential	:	L.AC.
Telephone Number	:	425-412-0468

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “INNER TRANQUIL ACUPUNCTURE ” Practice Location

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