MEDICARE: DR. CATHERINE RAHM COUDRAY LIC AP DILP. AC OMD.

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	AP32	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1649410580	OTHER	WY	COMMERCIAL
2	AP32	OTHER	WY	ACUPUNCTURE LIC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649410580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE RAHM COUDRAY LIC AP DILP. AC OMD.

Provider Business Mailing Address
First Line	:	2900 E GRAND AVE UNIT 7
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82070-5268
Country	:	US
Telephone Number	:	321-303-5240
Fax Number	:	321-244-0453

Provider Business Practice Location Address
First Line	:	2900 E GRAND AVE UNIT 7
Second Line	:
City	:	LARAMIE
State	:	WY
Zip	:	82070-5268
Country	:	US
Telephone Number	:	321-303-5240
Fax Number	:	321-244-0453

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

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	04/18/2024

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