Lake Forest Park Acupuncture and Massage

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60525308 Issued in WA

Legal business name

LAKE FOREST PARK ACUPUNCTURE AND MASSAGE

Practice address

18724 35TH Ave NE
Lake Forest Park, WA 98155-2602

Phone

(206) 962-7620

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kieran McManimon, LMPNPI 1891075917

Title

Owner/Partner/Massage Therapist

Phone

(206) 962-7620

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kieran Joseph McManimon, LMP

  • Massage Therapist
  • Lake Forest Park, WA
  • NPI 1891075917
  Authorized official Same address or phone

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1306208830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18724 35TH AVE NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981552602",
            "telephone_number": "206-962-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18724 35TH AVE NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981552602",
            "telephone_number": "206-962-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST PARK ACUPUNCTURE AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "MCMANIMON",
        "authorized_official_first_name": "KIERAN",
        "authorized_official_title_or_position": "OWNER/PARTNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "206-962-7620",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60525308",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60228942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Cares LLC
• Kent N Sullivan MD PLLC
• Niki Christine King
• Melinda Kloepfer Rice, ARNP
• Kelly Marie Knickerbocker, MSN ARNP PMHNP
• Lake Forest Park Clinic TR (Lake Forest Park Medical Clinic)
• Lake Forest Vision
• Daisy Abutin Lalas, NURSE CASE MANAGER
• Rebecca Carolyn Langseth
• Linda Renee Lusk-Fauquet, ARNP

• Acupuncturist in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.