Provider Demographics
NPI:1902494842
Name:ACU360, PLLC
Entity Type:Organization
Organization Name:ACU360, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:425-922-1162
Mailing Address - Street 1:16771 NE 80TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3959
Mailing Address - Country:US
Mailing Address - Phone:425-922-1162
Mailing Address - Fax:425-245-5175
Practice Address - Street 1:16771 NE 80TH ST STE 200
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3959
Practice Address - Country:US
Practice Address - Phone:425-922-1162
Practice Address - Fax:425-245-5175
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACU360, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty