MEDICARE: KATY R BRIER LIC. 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	220207	MA

General Provider Information

NPI Number	:	1578630208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATY R BRIER LIC. AC.

Provider Business Mailing Address
First Line	:	185 KINGSLEY RD
Second Line	:
City	:	HULL
State	:	MA
Zip	:	02045-2211
Country	:	US
Telephone Number	:	781-925-1941
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 NANTASKET AVE
Second Line	:	SUITE 107-108R
City	:	HULL
State	:	MA
Zip	:	02045-3106
Country	:	US
Telephone Number	:	781-925-1941
Fax Number	:

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/08/2007

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