Healthcare Provider Details

I. General information

NPI: 1376882688
Provider Name (Legal Business Name): ACUPUNCTURE ACCESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 S COLLEGE AVE SUITE A
FORT COLLINS CO
80525-3959
US

IV. Provider business mailing address

5125 S COLLEGE AVE SUITE A
FORT COLLINS CO
80525-3959
US

V. Phone/Fax

Practice location:
  • Phone: 970-484-0013
  • Fax:
Mailing address:
  • Phone: 970-484-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1115
License Number StateCO

VIII. Authorized Official

Name: MS. ABBYE SILVERSTEIN
Title or Position: ACUPUNCTURIST
Credential: L.AC
Phone: 303-588-4663