Provider Demographics
NPI:1932908951
Name:ALPINE TCM
Entity type:Organization
Organization Name:ALPINE TCM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:425-830-0358
Mailing Address - Street 1:2528 241ST PL SW
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8427
Mailing Address - Country:US
Mailing Address - Phone:425-830-0358
Mailing Address - Fax:
Practice Address - Street 1:12006 98TH AVE NE STE 103
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4218
Practice Address - Country:US
Practice Address - Phone:425-448-9619
Practice Address - Fax:425-448-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1215139308OtherNPPES
WA1043875982OtherNPPES