=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760339709
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLOY ACUPUNCTURE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2026
-----------------------------------------------------
Last Update Date | 03/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6053 HUDSON RD STE 152
-----------------------------------------------------
City | WOODBURY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55125-1015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 920-838-1526
-----------------------------------------------------
Fax | 651-358-2969
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6053 HUDSON RD STE 152
-----------------------------------------------------
City | WOODBURY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55125-1015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 920-838-1526
-----------------------------------------------------
Fax | 651-358-2969
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACUPUNCTURIST
-----------------------------------------------------
Name | MIRIAH ANN COX
-----------------------------------------------------
Credential | LACOM
-----------------------------------------------------
Telephone | 920-838-1526
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------