MEDICARE: RITUALS ACUPUNCTURE LLC

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

General Provider Information

NPI Number	:	1518848696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITUALS ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	4440 ARAPAHOE AVE STE 215
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80303-9101
Country	:	US
Telephone Number	:	720-505-5353
Fax Number	:	720-505-5328

Provider Business Practice Location Address
First Line	:	4440 ARAPAHOE AVE STE 215
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80303-9101
Country	:	US
Telephone Number	:	720-505-5353
Fax Number	:	720-505-5328

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	ESME CODY
Credential	:	LAC
Telephone Number	:	720-505-5323

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

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