Basic Information
Provider Information
NPI: 1366689309
EntityType: 2
ReplacementNPI:  
OrganizationName: THE NATURAL PATH TO HEALING
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 31116 160TH ST SE
Address2:  
City: SULTAN
State: WA
PostalCode: 982949711
CountryCode: US
TelephoneNumber: 3603483162
FaxNumber:  
Practice Location
Address1: 15610 NE WOODINVILLE DUVALL RD
Address2: 108
City: WOODINVILLE
State: WA
PostalCode: 980727069
CountryCode: US
TelephoneNumber: 4254895900
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/13/2009
LastUpdateDate: 01/13/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PALMER
AuthorizedOfficialFirstName: APRIL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PARTNER
AuthorizedOfficialTelephone: 3603483162
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: LAC
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171100000XAC00000673WAN193200000X MULTI-SPECIALTY GROUPOther Service ProvidersAcupuncturist 
175F00000XNT00001328WAY193200000X MULTI-SPECIALTY GROUPOther Service ProvidersNaturopath 

No ID Information.


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