MEDICARE: VISCERAL BODY THERAPEUTICS LLC

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	:	1295676815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISCERAL BODY THERAPEUTICS LLC

Provider Business Mailing Address
First Line	:	1808 CONNECTICUT AVE NW STE 101
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-5752
Country	:	US
Telephone Number	:	301-818-1203
Fax Number	:

Provider Business Practice Location Address
First Line	:	1808 CONNECTICUT AVE NW STE 101
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-5752
Country	:	US
Telephone Number	:	301-818-1203
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ACUPUNCTURIST
Name	:	MS. HANNAH ROSENSTEIN
Credential	:	L.AC
Telephone Number	:	301-818-1203

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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