Provider Demographics
NPI:1023147857
Name:SAXENA, MANU (EAMP, LAC)
Entity type:Individual
Prefix:MR
First Name:MANU
Middle Name:
Last Name:SAXENA
Suffix:
Gender:M
Credentials:EAMP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 BALLARD AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4060
Mailing Address - Country:US
Mailing Address - Phone:206-659-9598
Mailing Address - Fax:
Practice Address - Street 1:5340 BALLARD AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4060
Practice Address - Country:US
Practice Address - Phone:206-659-9598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC395171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist