Individual
THERESA MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMP
Contact information
Practice address
2319 N 45TH ST STE 305, SEATTLE, WA 98103
(206) 251-1506
Mailing address
2319 N 45TH ST STE 305, SEATTLE, WA 98103-6979
(206) 251-1506
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60078142
WA
225700000X
Massage Therapist
MA00008652
WA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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