Provider Demographics
NPI:1740460716
Name:ACUPUNCTURE HEALTH WORKS INC
Entity type:Organization
Organization Name:ACUPUNCTURE HEALTH WORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASIULIS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LMP
Authorized Official - Phone:206-375-3689
Mailing Address - Street 1:PO BOX 20385
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-1385
Mailing Address - Country:US
Mailing Address - Phone:206-375-3689
Mailing Address - Fax:206-957-4552
Practice Address - Street 1:3221 EASTLAKE AVE E
Practice Address - Street 2:SUITE 120
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-7125
Practice Address - Country:US
Practice Address - Phone:206-375-3689
Practice Address - Fax:206-957-4552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00017471225700000X
WAAC00002299171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty