Healthcare Provider Details

I. General information

NPI: 1700580479
Provider Name (Legal Business Name): GENERATIONS ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N CIRCLE DR STE 100
COLORADO SPRINGS CO
80909-1161
US

IV. Provider business mailing address

2500 N CIRCLE DR STE 100
COLORADO SPRINGS CO
80909-1161
US

V. Phone/Fax

Practice location:
  • Phone: 719-434-8093
  • Fax: 719-445-0942
Mailing address:
  • Phone: 719-434-8093
  • Fax: 719-445-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: KAREN J MORELAND
Title or Position: OWNER
Credential: DACM, L.AC.
Phone: 719-434-8093