Provider Demographics
NPI:1649598673
Name:ACI HEALTH & WELLNESS CENTER PLLC
Entity Type:Organization
Organization Name:ACI HEALTH & WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINGYI
Authorized Official - Middle Name:
Authorized Official - Last Name:FAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-778-1188
Mailing Address - Street 1:18205 ALDERWOOD MALL PKWY STE K
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3913
Mailing Address - Country:US
Mailing Address - Phone:425-778-1188
Mailing Address - Fax:425-285-9018
Practice Address - Street 1:18205 ALDERWOOD MALL PKWY STE K
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3913
Practice Address - Country:US
Practice Address - Phone:425-778-1188
Practice Address - Fax:425-778-1183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty