MEDICARE: ACUPUNCTURE OF IOWA, INC

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1992978498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUPUNCTURE OF IOWA, INC

Provider Business Mailing Address
First Line	:	1201 WADE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-2516
Country	:	US
Telephone Number	:	319-341-0031
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 WADE ST.
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-2516
Country	:	US
Telephone Number	:	319-341-0031
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. LAURA ELLEN CHRISTENSEN
Credential	:	L.AC.
Telephone Number	:	319-341-0031

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	04/07/2008

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