Basic Information
| Provider Information | |||||||||
| NPI: | 1942385976 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HYMEL | ||||||||
| FirstName: | TODD | ||||||||
| MiddleName: | STEPHEN | ||||||||
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| Credential: | M.S.A., LAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16761 NE 79TH ST | ||||||||
| Address2: | |||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980524425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258697400 | ||||||||
| FaxNumber: | 4258695400 | ||||||||
| Practice Location | |||||||||
| Address1: | 16761 NE 79TH ST | ||||||||
| Address2: | |||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980524425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258820112 | ||||||||
| FaxNumber: | 4258697691 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 09/18/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | Y | Other Service Providers | Acupuncturist |
No ID Information.