Sage Mountain Acupuncture, PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SAGE MOUNTAIN ACUPUNCTURE, PLLC

Practice address

14090 Fryelands Blvd SE Ste 249
Monroe, WA 98272-2693

Phone

(206) 384-8736

Fax

(360) 805-4134

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Teri L Manley, L.AC, EAMP

Title

Owner

Phone

(206) 384-8736

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1578029294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 NE 80TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154840",
            "telephone_number": "206-384-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 FRYELANDS BLVD SE STE 249",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722693",
            "telephone_number": "206-384-8736",
            "fax_number": "360-805-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MOUNTAIN ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-384-8736",
        "authorized_official_credential": "L.AC, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Russell
• Brian Joseph Russon, M.S.P.T.ATC
• Alyson Lynette Ryan, APRN
• Sindura Sadanandan, MS, LMHCA
• Safeway Inc
• Brenda Helen Samples, OTR/L
• Aiden Savoie-Gavosto, LMP
• George Graham Sayre, PSY.D.
• Evelyn Lee Scarborough
• Andrea A Schlechty, LSWAIC

• Acupuncturist in Monroe, WA
• Providers in Monroe, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.