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NPI Code Detail

MEDICARE: ELEVATE ACUPUNCTURE AND WELLNESS, PLLC

MEDICARE: ELEVATE ACUPUNCTURE AND WELLNESS, PLLC
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1659091379
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATE ACUPUNCTURE AND WELLNESS, PLLC
Provider Business Mailing Address
First Line : 208 HALEY RD STE B
Second Line :
City : JOHNSON CITY
State : TX
Zip : 78636-4617
Country : US
Telephone Number : 830-255-7455
Fax Number :
Provider Business Practice Location Address
First Line : 208 HALEY RD STE B
Second Line :
City : JOHNSON CITY
State : TX
Zip : 78636-4617
Country : US
Telephone Number : 830-255-7455
Fax Number :
Authorized Official
Title or Position : OWNER & ACUPUNCTURIST
Name : VALERIE ARIS
Credential : LAC
Telephone Number : 830-255-7455
Provider Enumeration Date : 09/01/2022
Last Update Date : 09/01/2022

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Directions to “ELEVATE ACUPUNCTURE AND WELLNESS, PLLC ” Practice Location

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