Healthcare Provider Details

I. General information

NPI: 1528449584
Provider Name (Legal Business Name): EMILY HURM L.AC., DIPL. O.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 06/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 WOODLAND AVE SUITE #305
WEST DES MOINES IA
50266-6506
US

IV. Provider business mailing address

3408 WOODLAND AVE SUITE #305
WEST DES MOINES IA
50266-6506
US

V. Phone/Fax

Practice location:
  • Phone: 515-556-3304
  • Fax:
Mailing address:
  • Phone: 515-556-3304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberA-83
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: