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NPI Code Detail

MEDICARE: TENSEGRITY ACUPUNCTURE

MEDICARE: TENSEGRITY ACUPUNCTURE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1124707419
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENSEGRITY ACUPUNCTURE
Provider Business Mailing Address
First Line : 9640 W TROPICANA AVE STE 115
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-2604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9640 W TROPICANA AVE STE 115
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-2604
Country : US
Telephone Number : 888-582-7600
Fax Number :
Authorized Official
Title or Position : OMD, OWNER
Name : NIPAPHAN YINGYOUD
Credential :
Telephone Number : 888-582-7600
Provider Enumeration Date : 07/13/2023
Last Update Date : 07/24/2023

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Directions to “TENSEGRITY ACUPUNCTURE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.