Provider Demographics
NPI:1609383264
Name:NAKAJIMA ACUTHERAPY, LLC
Entity Type:Organization
Organization Name:NAKAJIMA ACUTHERAPY, LLC
Other - Org Name:NAKAJIMA ACUTHERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATSUKO
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAJIMA
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP
Authorized Official - Phone:360-488-6777
Mailing Address - Street 1:2223 112TH AVE NE STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2952
Mailing Address - Country:US
Mailing Address - Phone:360-488-6777
Mailing Address - Fax:
Practice Address - Street 1:2223 112TH AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2952
Practice Address - Country:US
Practice Address - Phone:360-488-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60808046171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty