Provider Demographics
NPI:1033806898
Name:ELEVATED ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:ELEVATED ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:DEMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:MSAOM
Authorized Official - Phone:303-378-0557
Mailing Address - Street 1:1500 FAIRVIEW AVE E
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102
Mailing Address - Country:US
Mailing Address - Phone:253-987-6049
Mailing Address - Fax:206-325-9297
Practice Address - Street 1:1500 FAIRVIEW AVE E
Practice Address - Street 2:SUITE 205
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102
Practice Address - Country:US
Practice Address - Phone:253-987-6049
Practice Address - Fax:206-325-9297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty