Living Medical Arts, PLLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60188651 Issued in WA

Legal business name

LIVING MEDICAL ARTS, PLLC

Practice address

10516 E Riverside Dr
Bothell, WA 98011-3714

Phone

(425) 949-7018

NPI assigned

Feb 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mandy Rae Gulla, ND LMT CM

Title

Member

Phone

(425) 949-7018

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1053683052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 E RIVERSIDE DR",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113714",
            "telephone_number": "425-949-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 E RIVERSIDE DR",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113714",
            "telephone_number": "425-949-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING MEDICAL ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "GULLA",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-949-7018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND LMT CM"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60188651",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Bothell, WA
• Providers in Bothell, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.