# JET CITY ACUPUNCTURE & WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jet City Acupuncture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255994935
- **Authorized official:** MY NHUNG PHAM KOLB LAC, EAMP (PRACTITIONER, OWNER)
- **Authorized official phone:** (360) 286-4407

## Contact information

- **Practice address:** 5130 15TH AVE S, SEATTLE, WA 98108-2316
- **Practice address phone:** (360) 286-4407
- **Mailing address:** 5130 15TH AVE S, SEATTLE, WA 98108-2316
- **Mailing address phone:** (360) 286-4407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 04/17/2019