Provider Demographics
NPI:1255512893
Name:KNUTSON, MAEGAN (ND)
Entity type:Individual
Prefix:
First Name:MAEGAN
Middle Name:
Last Name:KNUTSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17401 135TH AVE NE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-6825
Mailing Address - Country:US
Mailing Address - Phone:425-402-9999
Mailing Address - Fax:425-402-8390
Practice Address - Street 1:17401 135TH AVE NE
Practice Address - Street 2:SUITE 6
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-6825
Practice Address - Country:US
Practice Address - Phone:425-402-9999
Practice Address - Fax:425-402-8390
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00003051171100000X
WANT00001592175F00000X
WAMA00012754225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist