Terry S Courtney, L.AC.
Individual provider Active NPI Acupuncturist · Kenmore, WA
NPI 1467578591 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467578591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC00000328 (WA)
- Practice address
- 14500 Juanita Dr NE
Kenmore, WA 98028-4966 - Phone
- (425) 602-3120
- Fax
- (425) 602-3141
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| AC00000328 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bastyr University | Acupuncturist | Past | Accepting new patients |
| Becoming Mama | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00000328 | WA | Yes |
Addresses
Primary practice location
14500 Juanita Dr NE
Kenmore, WA 98028-4966
Mailing address
11750 2ND Ave NW
Seattle, WA 98177-4506
Phone (206) 783-1584
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.