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NPI Code Detail

MEDICARE: ALLEVIATE ACUPUNCTURE LLC

MEDICARE: ALLEVIATE 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
1225700000XMassage Therapist
2111N00000XChiropractor
3175F00000XNaturopath
4225100000XPhysical Therapist
5171100000XAcupuncturist

General Provider Information

NPI Number : 1679364954
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEVIATE ACUPUNCTURE LLC
Provider Business Mailing Address
First Line : 1203B N SIGNAL ST
Second Line :
City : OJAI
State : CA
Zip : 93023-1831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 SE DOUGLAS ST # F-3
Second Line :
City : NEWPORT
State : OR
Zip : 97365-4499
Country : US
Telephone Number : 805-826-8594
Fax Number :
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : VANESSA LEILANI TUCKER
Credential : LAC
Telephone Number : 541-351-8131
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/22/2025

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Directions to “ALLEVIATE ACUPUNCTURE LLC ” Practice Location

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