Original Qi Pllc

NPI #1528559416 in Seattle, Washington

Provider Information

NPI Number: 1528559416
Entity Type: Organization
Organization Name: Original Qi Pllc
Primary Specialty: Acupuncturist
Enumeration Date: May 25, 2018
Last Updated: May 25, 2018

Practice Location

Address: 5401 LEARY AVE NW STE 203
City: Seattle
State: Washington
ZIP Code: 98107-4070
Phone: (206) 582-3469

Authorized Official

Name: PHONEXAY LALA SIMON, EAMP, L.AC
Title: OWNER
Phone: (509) 554-0516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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