Camille Alissa Thenard, DACCHM,DIPL.AC.,L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC70083799 Issued in WA

Practice address

4007 Bridgeport Way W Ste C
University Place, WA 98466-4330

Phone

(253) 242-3661

NPI assigned

Feb 19, 2026

Last updated

Jun 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1245183078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 57TH CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985134187",
            "telephone_number": "714-642-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 BRIDGEPORT WAY W STE C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664330",
            "telephone_number": "253-242-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THENARD",
        "first_name": "CAMILLE",
        "middle_name": "ALISSA",
        "name_prefix": "Dr.",
        "credential": "DACCHM,DIPL.AC.,L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC70083799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Antonio Tavira, CG 60475423
• Douglas Carpenter Taylor, L.M.P.
• Julia Taylor, MD
• Mollie Taylor
• The Spa at Pacific Wellness, LLC
• Therapeutic Associates Inc (TAI - University Place Physical Therapy)
• Therapy Management Services, PLLC (University Place Physical Therapy)
• Therapy Management Services, PLLC (University Place Physical Therapy)
• Caleb Paul Thomas, DPM
• Kelly Thomas

• Acupuncturist in University Place, WA
• Providers in University Place, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.