Organization
MIRACLE ISLAND PLLC
Active
Other names
Taiji acupuncture wellness center
Organization subpart
No
Provider details
NPI number
Authorized official
HAIMING SHI (CEO)
(206) 519-9039
Entity
Organization
Contact information
Practice address
7605 SE 27TH ST STE 103, MERCER ISLAND, WA 98040-2852
(206) 519-9039
Mailing address
7605 SE 27TH ST STE 103, MERCER ISLAND, WA 98040-2852
(206) 519-9039
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60696857
WA
225700000X
Massage Therapist
MA60654589
WA
Other
Enumeration date
11/29/2017
Last updated
10/11/2020
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