# ELEVATED ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1639813330
- **Authorized official:** BETHANY C DEMARCO LAC, MSAOM, RN (CEO)
- **Authorized official phone:** (303) 378-0557

## Contact information

- **Practice address:** 1500 FAIRVIEW AVE E STE 205, SEATTLE, WA 98102-3727
- **Practice address phone:** (253) 987-6049
- **Practice address fax:** (206) 325-9292
- **Mailing address:** 9810 42ND AVE SW, SEATTLE, WA 98136-2819
- **Mailing address phone:** (303) 378-0557

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2022
- **Last updated:** 04/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002552 | CO STATE ACUPUNCTURE LICENSE | CO |
| 01 | — | 1588202782 | INDIVIDUAL NPI | — |
| 01 | — | AC61079087 | WA STATE ACUPUNCTURE LICENSE | WA |
| 01 | — | NCC84637 | NCCAOM BOARD CERTIFICATION | — |