Healthcare Provider Details

I. General information

NPI: 1780594309
Provider Name (Legal Business Name): ACUPUNCTURE AND WELLNESS THERAPIES OF OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4765 CARROLL CEMETERY RD
CARROLL OH
43112-9428
US

IV. Provider business mailing address

4765 CARROLL CEMETERY RD
CARROLL OH
43112-9428
US

V. Phone/Fax

Practice location:
  • Phone: 614-348-3127
  • Fax:
Mailing address:
  • Phone: 614-348-3127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ADAM T STEWART
Title or Position: ACUPUNCTURIST/OWNER
Credential: L.AC., DIPL.AC.
Phone: 614-348-3127