MEDICARE: KATHERINE ROBINETTE L.AC.

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	ACU.0001810	CO

General Provider Information

NPI Number	:	1427290923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ROBINETTE L.AC.

Provider Business Mailing Address
First Line	:	3470 S SHERMAN ST
Second Line	:	#1
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2680
Country	:	US
Telephone Number	:	303-800-7604
Fax Number	:

Provider Business Practice Location Address
First Line	:	3470 S SHERMAN ST
Second Line	:	#1
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2680
Country	:	US
Telephone Number	:	303-800-7604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	05/24/2016

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