Ruiya Ma, LAC
Individual provider Active NPI Acupuncturist · Brier, WA
NPI 1053083162 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1053083162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC61212846 (WA)
- Practice address
- 21718 20TH PL W
Brier, WA 98036-8188 - Phone
- (305) 915-5885
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC61212846 | WA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC61212846 | WA | Yes |
Addresses
Primary practice location
21718 20TH PL W
Brier, WA 98036-8188
Mailing address
21718 20TH PL W
Brier, WA 98036-8188
Phone (305) 915-5885
Other providers in Brier, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.