Organization Active NPI

Snohomish Acupuncture & Massage, LLC

  • Acupuncturist
  • Snohomish, WA
National Provider Identifier
1851643506
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60208211 Issued in WA
Legal business name
SNOHOMISH ACUPUNCTURE & MASSAGE, LLC
Practice address
1400 7TH St
Ste 2
Snohomish, WA 98290-2389
Phone
(360) 563-5244
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Polly Heberle, EAMP, LMP
Title
Acupuncturist & Massage Therapist
Phone
(360) 348-2717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60208211 WA Primary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X MA00014217 WA

Addresses

Primary practice location

1400 7TH St
Ste 2
Snohomish, WA 98290-2389

Mailing address

1400 7TH St
Ste 2
Snohomish, WA 98290-2389
Phone (360) 563-5244

National Provider Directory

National Provider Directory

Locations

1400 7th St
Ste 2
Snohomish, WA 98290
Phone (360) 563-5244

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1851643506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 7TH ST",
            "address_2": "STE 2",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902389",
            "telephone_number": "360-563-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 7TH ST",
            "address_2": "STE 2",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902389",
            "telephone_number": "360-563-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH ACUPUNCTURE & MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "HEBERLE",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "ACUPUNCTURIST & MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-348-2717",
        "authorized_official_credential": "EAMP, LMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60208211",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "WA",
            "license": "MA00014217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.