MEDICARE: SHANNON MOY 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	1474	MN

General Provider Information

NPI Number	:	1639310758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON MOY L. AC.

Provider Business Mailing Address
First Line	:	1350 BOONE AVE N
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55427-3807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6311 WAYZATA BLVD
Second Line	:	SUITE 210
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-1209
Country	:	US
Telephone Number	:	952-545-0200
Fax Number	:

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

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	03/19/2009

Similar Medicare Providers

1699804047 — MRS. VICKY LYNN RADEL R.N., L. AC.
Practice Location Address:

6311 WAYZATA BLVD , SUITE 210
ST LOUIS PARK, MN
55416-1209

Practice Phone: 952-545-0200
Practice Fax: 952-545-6388

1073799110 — HEALING TREE CHIROPRACTIC, PA
Practice Location Address:

6311 WAYZATA BLVD , SUITE 330
ST LOUIS PARK, MN
55416-1209

Practice Phone: 952-345-8244
Practice Fax: 952-933-6410

1538395926 — COLLEEN MARTENS ENDRIZZI, INC.
Practice Location Address:

6311 WAYZATA BLVD , SUITE 210
ST LOUIS PARK, MN
55416-1209

Practice Phone: 952-545-0200
Practice Fax:

1508067414 — THREE RIVERS CLINIC, INC.
Practice Location Address:

6311 WAYZATA BLVD , SUITE 210
MINNEAPOLIS, MN
55416-1209

Practice Phone: 952-545-0200
Practice Fax: 952-545-6388

1295926905 — NANCY RO NEWMAN L.P.N., L.L.C.C.
Practice Location Address:

6311 WAYZATA BLVD , SUITE 230
MINNEAPOLIS, MN
55416-1209

Practice Phone: 952-545-0200
Practice Fax: 952-545-6388

1851538508 — MS. VICTORIA LEA HUITT L. AC.
Practice Location Address:

6311 WAYZATA BLVD , SUITE 210
MINNEAPOLIS, MN
55416-1209

Practice Phone: 952-545-0200
Practice Fax: 952-545-6388

Directions to “ SHANNON MOY L. AC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.