MEDICARE: SHAYTHECOACHACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1235096173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAYTHECOACHACUPUNCTURE

Provider Business Mailing Address
First Line	:	1061 N DOBSON RD STE 110
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-7577
Country	:	US
Telephone Number	:	480-294-9952
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 N DOBSON RD STE 110
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-7577
Country	:	US
Telephone Number	:	480-294-9952
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	DR. SHAWETA VASUDEVA
Credential	:	DAC
Telephone Number	:	480-294-9952

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “SHAYTHECOACHACUPUNCTURE ” Practice Location

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