# FOXGLOVE ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROOT OF MEDICINE PLLC
- **Other names:** Rebel Med NW
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851868608
- **Legal business name:** ROOT OF MEDICINE PLLC
- **Authorized official:** KHAIRUL A BHAGWANDIN LAC, EAMP, LMT (ACUPUNCTURIST)
- **Authorized official phone:** (206) 582-3471

## Contact information

- **Practice address:** 5401 LEARY AVE NW STE 203, SEATTLE, WA 98107-4070
- **Practice address phone:** (206) 582-3471
- **Practice address fax:** (206) 582-3472
- **Mailing address:** 5401 LEARY AVE NW STE 203, SEATTLE, WA 98107-4070
- **Mailing address phone:** (206) 582-3471
- **Mailing address fax:** (206) 582-3472

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2018
- **Last updated:** 02/08/2022