MARY MUTH PA-C L.AC NPI 1801807128

NPI Information

NPI: 1801807128
Provider Name: MARY MUTH, PA-C, L.AC
Classification: Acupuncturist - 171100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7210 40TH ST W
STE 100
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 564-0170
Get Directions

Mary Muth, PA-C, L.AC is an acupuncturist in University Place, WA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Mary Muth, PA-C, L.AC NPI is 1801807128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7210 40TH ST W
STE 100
UNIVERSITY PLACE, WA
ZIP 98466-318
Phone: (253) 564-0170
Fax: (253) 207-4240

The NPI 1801807128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC00002753	WASHINGTON	Yes
2	363A00000X	Physician Assistant		PA10002261	WASHINGTON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S60412	MEDICARE UPIN
2	AB12577	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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