MEDICARE: TRESSA BREINDEL LAC, DIPL. OM

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	CO-1795	CO

General Provider Information

NPI Number	:	1922354323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRESSA BREINDEL LAC, DIPL. OM

Provider Business Mailing Address
First Line	:	5540 FALMOUTH ST STE 307
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-1800
Country	:	US
Telephone Number	:	804-288-1111
Fax Number	:	833-232-9770

Provider Business Practice Location Address
First Line	:	5540 FALMOUTH ST STE 307
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-1800
Country	:	US
Telephone Number	:	804-288-1111
Fax Number	:	833-232-9770

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

Provider Enumeration Date	:	08/03/2012
Last Update Date	:	06/07/2022

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