MEDICARE: ALTERNATIVE HEALTH THERAPIES INC

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	AP 712	FL

General Provider Information

NPI Number	:	1487881389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE HEALTH THERAPIES INC

Provider Business Mailing Address
First Line	:	1201 SHERIDAN RD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755-1430
Country	:	US
Telephone Number	:	727-449-9090
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 SHERIDAN RD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755-1430
Country	:	US
Telephone Number	:	727-449-9090
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAYDA CARRILLO
Credential	:	AP
Telephone Number	:	727-449-9090

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	06/18/2009

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