Provider Demographics
NPI:1558731489
Name:JUECHTER, ANDREW (ND)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:JUECHTER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19221 36TH AVE W
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5796
Mailing Address - Country:US
Mailing Address - Phone:425-774-9564
Mailing Address - Fax:425-775-9634
Practice Address - Street 1:19221 36TH AVE W
Practice Address - Street 2:SUITE 201
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5796
Practice Address - Country:US
Practice Address - Phone:425-774-9564
Practice Address - Fax:425-775-9634
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60561584175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath