Healthcare Provider Details

I. General information

NPI: 1336732148
Provider Name (Legal Business Name): SPRINGS COMMUNITY ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 W COLORADO AVE
COLORADO SPRINGS CO
80904-2444
US

IV. Provider business mailing address

PO BOX 6952
COLORADO SPRINGS CO
80934-6952
US

V. Phone/Fax

Practice location:
  • Phone: 719-464-5211
  • Fax:
Mailing address:
  • Phone: 719-464-5211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HANNAH BEACHY
Title or Position: EXECUTIVE DIRECTOR
Credential: L.AC.
Phone: 719-464-5211