# KIRSTEN MARIE THOMASSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487002713
- **Gender:** F
- **Credential:** EAMP, L.AC., DIPL.AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 5401000102 | MI | — |
| 171100000X | Acupuncturist | AC 60354712 | WA | Yes |

## Other

- **Enumeration date:** 05/26/2016
- **Last updated:** 05/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1114387560 | NPI TYPE 2 | WA |