Blue Tusk Acupuncture Clinic, LLC

NPI #1699206821 in Mountlake Terrace, Washington

Provider Information

NPI Number: 1699206821
Entity Type: Organization
Organization Name: Blue Tusk Acupuncture Clinic, LLC
Primary Specialty: Acupuncturist
Enumeration Date: Mar 21, 2017
Last Updated: Apr 17, 2020

Practice Location

Address: 5903 244TH ST SW STE E
City: Mountlake Terrace
State: Washington
ZIP Code: 98043-5451
Phone: (360) 218-4602

Authorized Official

Name: ANDREJ PRADO NICKEL, L.AC., EAMP
Title: OWNER/ ACUPUNCTURIST
Phone: (360) 218-4602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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