MEDICARE: JOSH WHITELEY

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	0712	AZ

General Provider Information

NPI Number	:	1629807284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSH WHITELEY

Provider Business Mailing Address
First Line	:	2526 W CALLE TONALA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-2507
Country	:	US
Telephone Number	:	702-378-3498
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 N TUCSON BLVD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3427
Country	:	US
Telephone Number	:	520-276-9555
Fax Number	:

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

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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Directions to “ JOSH WHITELEY ” Practice Location

Language	Start Address	Practice Location

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