Healthcare Provider Details

I. General information

NPI: 1720145675
Provider Name (Legal Business Name): JULIE TWOMOON NMD, DIPL AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44670 ANN ARBOR RD W STE 110
PLYMOUTH MI
48170-4084
US

IV. Provider business mailing address

44670 ANN ARBOR RD W STE 110
PLYMOUTH MI
48170-4084
US

V. Phone/Fax

Practice location:
  • Phone: 734-414-7669
  • Fax: 734-414-7679
Mailing address:
  • Phone: 734-414-7669
  • Fax: 734-414-7679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: