Provider Demographics
NPI:1942385976
Name:HYMEL, TODD STEPHEN (MSA, LAC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:STEPHEN
Last Name:HYMEL
Suffix:
Gender:M
Credentials:MSA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16761 NE 79TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4425
Mailing Address - Country:US
Mailing Address - Phone:425-869-7400
Mailing Address - Fax:425-869-5400
Practice Address - Street 1:16761 NE 79TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4425
Practice Address - Country:US
Practice Address - Phone:425-882-0112
Practice Address - Fax:425-869-7691
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist