MS. JODIE KIM MACTAVISH NPI 1366733545

NPI Information

NPI: 1366733545
Provider Name: MS. JODIE KIM MACTAVISH
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
3096 I-70 BUSINESS LOOP
SUITE D
GRAND JUNCTION, CO
ZIP 81504
Phone: (970) 434-8500
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MS. Jodie Kim Mactavish is an acupuncturist in Grand Junction, CO. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MS. Jodie Kim Mactavish NPI is 1366733545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3096 I-70 BUSINESS LOOP
SUITE D
GRAND JUNCTION, CO
ZIP 81504-774
Phone: (970) 434-8500
Fax: (970) 434-8500

The enumeration date for this NPI number is 4/22/2011 and was last updated on 4/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	173C00000X	Reflexologist		N/A CERTIFICATION	COLORADO	No
2	171100000X	Acupuncturist		ELECTROACUPUNCTURE	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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