Healthcare Provider Details

I. General information

NPI: 1164362497
Provider Name (Legal Business Name): KRISTEN M ZIEGENBEIN DAC LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4636 N 7TH AVE
PHOENIX AZ
85013-2756
US

IV. Provider business mailing address

2303 W ESTRELLA DR
CHANDLER AZ
85224-2521
US

V. Phone/Fax

Practice location:
  • Phone: 480-788-7701
  • Fax:
Mailing address:
  • Phone: 480-788-7701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-012223
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: