Provider Demographics
NPI:1710743075
Name:TK HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:TK HEALTH & WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ACUPUNCTURE
Authorized Official - Prefix:DR
Authorized Official - First Name:TAE HO
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DAC, EAMP
Authorized Official - Phone:425-770-1888
Mailing Address - Street 1:5830 119TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-6967
Mailing Address - Country:US
Mailing Address - Phone:425-770-1888
Mailing Address - Fax:
Practice Address - Street 1:12721 NE BEL RED RD STE 130
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2653
Practice Address - Country:US
Practice Address - Phone:425-484-2548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty