Healthcare Provider Details

I. General information

NPI: 1023587284
Provider Name (Legal Business Name): POINT PRACTICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2018
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MILLER AVE STE 204
MILL VALLEY CA
94941-1932
US

IV. Provider business mailing address

16 MILLER AVE STE 204
MILL VALLEY CA
94941-1932
US

V. Phone/Fax

Practice location:
  • Phone: 805-729-5080
  • Fax:
Mailing address:
  • Phone: 805-729-5080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: KRYSTLE ROSE MARTINEZ
Title or Position: OWNER
Credential: LAC
Phone: 805-729-5080