# WATERSHED WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194198614
- **Authorized official:** MRS. CHRISTINE ALEXIS KULHAWIK-HANSEN EAMP, MACO.M, NTP (OWNER / ACUPUNCTURIST)
- **Authorized official phone:** (360) 350-0773

## Contact information

- **Practice address:** 703 LILLY RD NE, STE 102, OLYMPIA, WA 98506-5191
- **Practice address phone:** (360) 350-0773
- **Practice address fax:** (360) 350-0723
- **Mailing address:** 703 LILLY RD NE, STE 102, OLYMPIA, WA 98506-5191
- **Mailing address phone:** (360) 350-0773
- **Mailing address fax:** (360) 350-0723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC 60065363 | WA | Yes |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 11/05/2015