MEDICARE: INVIGORATE ACUPUNCTURE PLLC

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
1	171100000X	Acupuncturist	0873	AZ

General Provider Information

NPI Number	:	1316343064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INVIGORATE ACUPUNCTURE PLLC

Provider Business Mailing Address
First Line	:	6416 E TANQUE VERDE RD
Second Line	:	SUITE B
City	:	TUCSON
State	:	AZ
Zip	:	85715-3825
Country	:	US
Telephone Number	:	520-370-6069
Fax Number	:

Provider Business Practice Location Address
First Line	:	6416 E TANQUE VERDE RD
Second Line	:	SUITE B
City	:	TUCSON
State	:	AZ
Zip	:	85715-3825
Country	:	US
Telephone Number	:	520-370-6069
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	KATE PRATTE CAMPOS
Credential	:	L.AC
Telephone Number	:	520-370-6069

Provider Enumeration Date	:	11/07/2014
Last Update Date	:	11/07/2014

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