MEDICARE: MS. KATHLEEN TERESE MACGREGOR 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	3407	CA

General Provider Information

NPI Number	:	1508196619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN TERESE MACGREGOR L. AC.

Provider Business Mailing Address
First Line	:	137 W EL ROBLAR DR
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-2208
Country	:	US
Telephone Number	:	805-646-6581
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 W EL ROBLAR DR
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-2208
Country	:	US
Telephone Number	:	805-646-6581
Fax Number	:

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

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	01/12/2010

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