Healthcare Provider Details
I. General information
NPI: 1417689902
Provider Name (Legal Business Name): AKIN CARE AND ACUPUNCTURE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022
Certification Date: 06/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
555 PIERCE ST
SAN FRANCISCO CA
94117-2440
US
IV. Provider business mailing address
548 MARKET ST PMB 73026
SAN FRANCISCO CA
94104
US
V. Phone/Fax
- Phone: 206-372-0096
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
COURTNEY
REIMAN
Title or Position: CO-FOUNDER
Credential: DACM, L.AC
Phone: 206-372-0096