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FORMLESS FORM QIGONG & ACUPUNCTURE NPI 1306199864


NPI Information

NPI: 1306199864
Provider Name: FORMLESS FORM QIGONG & ACUPUNCTURE
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
5603 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 708-0753
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FORMLESS FORM QIGONG & ACUPUNCTURE is an acupuncturist in Minneapolis, MN. 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. FORMLESS FORM QIGONG & ACUPUNCTURE NPI is 1306199864. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5603 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55417-429
Phone: (612) 708-0753

The provider's authorized official is Peng Roden Her .
The authorized official title is Owner and has the following contact phone number (612) 708-0753.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 3/1/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist1588MINNESOTAYes

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

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