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Individual

KIRSTEN MARIE THOMASSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EAMP, L.AC., DIPL.AC

Contact information

Practice address
9951 MICKELBERRY RD NW, SUITE 215, SILVERDALE, WA 98383-8309
(206) 245-6119
Mailing address
7701 WESTERLY LN NE, BAINBRIDGE ISLAND, WA 98110-2698
(206) 245-6119

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
5401000102
MI
171100000X
Acupuncturist
Primary
AC 60354712
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114387560
NPI TYPE 2
WA
Enumeration date
05/26/2016
Last updated
05/26/2016
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