Healthcare Provider Details

I. General information

NPI: 1902739451
Provider Name (Legal Business Name): SALT & SAGE ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13223 NW 58TH ST.
POLK CITY IA
50226
US

IV. Provider business mailing address

13223 NW 58TH ST.
POLK CITY IA
50226-1064
US

V. Phone/Fax

Practice location:
  • Phone: 515-822-6333
  • Fax:
Mailing address:
  • Phone: 515-822-6333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. AMBER DAW SMITH
Title or Position: SOLE MEMBER
Credential: DACM, LAC
Phone: 515-822-6333