Provider Demographics
NPI:1356566129
Name:NGUYEN-PHUOC, THI HUONG (ND, PT, LAC)
Entity type:Individual
Prefix:DR
First Name:THI
Middle Name:HUONG
Last Name:NGUYEN-PHUOC
Suffix:
Gender:F
Credentials:ND, PT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 LAKE CITY WAY NE STE 503
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5452
Mailing Address - Country:US
Mailing Address - Phone:425-828-4000
Mailing Address - Fax:425-828-4008
Practice Address - Street 1:12360 LAKE CITY WAY NE STE 503
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5452
Practice Address - Country:US
Practice Address - Phone:425-828-4000
Practice Address - Fax:425-828-4008
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60721031171100000X
TXPT1147657225100000X
WANT60692341175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist