=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073787933
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRISTEN REIGH CADY MS, LAC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2008
-----------------------------------------------------
Last Update Date | 04/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7069 ALLENTOWN RD
-----------------------------------------------------
City | CAMP SPRINGS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20748-5301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-643-7463
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10949 RIVERVIEW RD
-----------------------------------------------------
City | FORT WASHINGTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20744-5830
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-643-7463
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | U01260
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------