Healthcare Provider Details

I. General information

NPI: 1740828029
Provider Name (Legal Business Name): CAIRN CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 MANATEE AVE W. STE G.
BRADENTON FL
34209
US

IV. Provider business mailing address

6400 MANATEE AVE WEST STE G.
BRADENTON FL
34209
US

V. Phone/Fax

Practice location:
  • Phone: 941-242-0022
  • Fax: 941-242-0022
Mailing address:
  • Phone: 941-242-0022
  • Fax: 941-242-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAREN J. COX
Title or Position: OWNER, PRACTITIONER
Credential: LAC, D.OM
Phone: 727-422-7289