Provider Demographics
NPI:1144765694
Name:GINLEY, TRISHA (L AC)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:GINLEY
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 SPYGLASS HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250-8522
Mailing Address - Country:US
Mailing Address - Phone:206-419-3538
Mailing Address - Fax:
Practice Address - Street 1:321 PRICE ST
Practice Address - Street 2:
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250-9606
Practice Address - Country:US
Practice Address - Phone:206-419-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60714778171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist