Healthcare Provider Details

I. General information

NPI: 1982535043
Provider Name (Legal Business Name): PILAR TISKER L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N VERDE ST STE 101
FLAGSTAFF AZ
86001-5257
US

IV. Provider business mailing address

2518 W JOSSELYN DR
FLAGSTAFF AZ
86001-9141
US

V. Phone/Fax

Practice location:
  • Phone: 415-756-0432
  • Fax:
Mailing address:
  • Phone: 415-756-0432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-012308
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: