Provider Demographics
NPI:1366787905
Name:KRAXBERGER, BARBARA H (LIC ACU DIPL OF ACU)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:H
Last Name:KRAXBERGER
Suffix:
Gender:F
Credentials:LIC ACU DIPL OF ACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 OLYMPIC VIEW AVE NE # 1613
Mailing Address - Street 2:
Mailing Address - City:OCEAN SHORES
Mailing Address - State:WA
Mailing Address - Zip Code:98569-9552
Mailing Address - Country:US
Mailing Address - Phone:509-998-6317
Mailing Address - Fax:360-940-7194
Practice Address - Street 1:548 POINT BROWN AVE NE
Practice Address - Street 2:
Practice Address - City:OCEAN SHORES
Practice Address - State:WA
Practice Address - Zip Code:98569
Practice Address - Country:US
Practice Address - Phone:509-998-6317
Practice Address - Fax:509-413-1217
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60105963171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAC60105963OtherACUPUNCTURIST