Provider Demographics
NPI:1851682132
Name:ACUPUNCTURE GARDEN PLLC
Entity Type:Organization
Organization Name:ACUPUNCTURE GARDEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:509-888-7370
Mailing Address - Street 1:PO BOX 2308
Mailing Address - Street 2:
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-2308
Mailing Address - Country:US
Mailing Address - Phone:509-888-7370
Mailing Address - Fax:
Practice Address - Street 1:2205 W. WOODIN AVE.
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-9148
Practice Address - Country:US
Practice Address - Phone:509-888-7370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELLNESS GARDEN PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-21
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60209135261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center