Provider Demographics
NPI:1740319433
Name:MCSWEYN, CASEY MARGARET (MAC, LAC)
Entity type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:MARGARET
Last Name:MCSWEYN
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:GELLERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAC, LAC
Mailing Address - Street 1:5607 KEYSTONE PL N STE A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5963
Mailing Address - Country:US
Mailing Address - Phone:206-632-0725
Mailing Address - Fax:206-319-4586
Practice Address - Street 1:5607 KEYSTONE PL N STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5963
Practice Address - Country:US
Practice Address - Phone:206-632-0725
Practice Address - Fax:206-319-4586
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002236171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist