Tatyana Johnson, L.A.c
Acupuncturist in Kirkland, WA. Individual provider (NPI-1).
NPI number1497044648
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1497044648
- Entity type
- Individual (NPI-1)
- Name
- Tatyana Johnson
- Credential
- L.A.c
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2011
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC60297602 | WA | Yes |
| 174400000X | Specialist | MA 60201097 | WA |
Practice location
903 5th Ave Ste 102Kirkland, WA 98033-6348
Phone 425-785-1817
Mailing address
19426 79th Ct NeKenmore, WA 98028-2077
Phone 425-785-1817
Other practice locations
4041 169th Avenue Se
Bellevue, WA 98008-5934
Bellevue, WA 98008-5934
Phone 425-785-1817
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