KHAILITHA FAE L. AC DOM NPI 1972913234

NPI Information

NPI: 1972913234
Provider Name: KHAILITHA FAE, L. AC, DOM
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
119 GARDEN ST STE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 225-1655
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Khailitha Fae, L. AC, DOM is an acupuncturist in Prescott, AZ. 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. Khailitha Fae, L. AC, DOM NPI is 1972913234. 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:

119 GARDEN ST STE B
PRESCOTT, AZ
ZIP 86305-913
Phone: (928) 225-1655

The enumeration date for this NPI number is 5/7/2014 and was last updated on 5/7/2014.

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	171100000X	Acupuncturist		1020	NEW MEXICO	No
2	171100000X	Acupuncturist		0780	ARIZONA	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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