MEDICARE: GENTLE CURRENTS ACUPUNCTURE CLINIC

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	ACP 002	NH

General Provider Information

NPI Number	:	1770621369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE CURRENTS ACUPUNCTURE CLINIC

Provider Business Mailing Address
First Line	:	330 PORTSMOUTH AVE
Second Line	:
City	:	GREENLAND
State	:	NH
Zip	:	03840-2220
Country	:	US
Telephone Number	:	603-436-6883
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 PORTSMOUTH AVE
Second Line	:
City	:	GREENLAND
State	:	NH
Zip	:	03840-2220
Country	:	US
Telephone Number	:	603-436-6883
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LISA ROTHERMICH
Credential	:	LIC.AC.
Telephone Number	:	603-436-6883

Provider Enumeration Date	:	02/03/2007
Last Update Date	:	08/22/2020

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