MEDICARE: CINDY PEARSON-CATER L.AC.

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	2076	MN

General Provider Information

NPI Number	:	1518723188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY PEARSON-CATER L.AC.

Provider Business Mailing Address
First Line	:	3116 E 22ND ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1402
Country	:	US
Telephone Number	:	612-868-7976
Fax Number	:

Provider Business Practice Location Address
First Line	:	3332 E 25TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1413
Country	:	US
Telephone Number	:	612-868-7976
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	02/22/2024

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