MEDICARE: HEALING HANDS ACUPUNCTURE, 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	261Q00000X	Clinic/Center	AP3379	FL

General Provider Information

NPI Number	:	1578054631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS ACUPUNCTURE, LLC

Provider Business Mailing Address
First Line	:	798 GILDA DR
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-7604
Country	:	US
Telephone Number	:	352-682-6206
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 A1A S STE B1
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32080-7906
Country	:	US
Telephone Number	:	352-682-6206
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ACUPUNCTURE PHYSICIAN
Name	:	MS. MICHELE ANNE REHRER
Credential	:	AP
Telephone Number	:	352-682-6206

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	05/24/2018

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