Provider Demographics
NPI:1962895128
Name:MCGEE, TIMOTHY AARON (EAMP)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:AARON
Last Name:MCGEE
Suffix:
Gender:M
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 KNECHTEL WAY NE STE 204
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE IS
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2834
Mailing Address - Country:US
Mailing Address - Phone:425-258-8188
Mailing Address - Fax:844-603-7383
Practice Address - Street 1:2804 GRAND AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3430
Practice Address - Country:US
Practice Address - Phone:425-258-8188
Practice Address - Fax:142-574-0692
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-12
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60522717171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist