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SHAKTI CLINIC OF ORIENTAL MEDICINE NPI 1558426221


NPI Information

NPI: 1558426221
Provider Name: SHAKTI CLINIC OF ORIENTAL MEDICINE
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
4533 LOUISIANA AVE N
CRYSTAL, MN
ZIP 55428
Phone: (763) 536-9350
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SHAKTI CLINIC OF ORIENTAL MEDICINE is an acupuncturist in Crystal, 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. SHAKTI CLINIC OF ORIENTAL MEDICINE NPI is 1558426221. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4533 LOUISIANA AVE N
CRYSTAL, MN
ZIP 55428-026
Phone: (763) 536-9350

The provider's authorized official is Cassandra Kay Roberson .
The authorized official title is OWNER PRACTITIONERPractitioner and has the following contact phone number (763) 536-9350.

The enumeration date for this NPI number is 12/23/2006 and was last updated on 8/22/2020.


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
1171100000XAcupuncturist1136MINNESOTAYes

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: 5/5/2024

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