Healthcare Provider Details

I. General information

NPI: 1033577143
Provider Name (Legal Business Name): STORYPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N SANTA FE AVE
SALINA KS
67401-2616
US

IV. Provider business mailing address

120 N SANTA FE AVE
SALINA KS
67401-2616
US

V. Phone/Fax

Practice location:
  • Phone: 785-819-1336
  • Fax:
Mailing address:
  • Phone: 785-819-1336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHLEEN ELLEN LEENDERS
Title or Position: ACUPUNCTURIST
Credential:
Phone: 785-819-1336