YVONNE PEREZ KETTERING LAC NPI 1629374301

NPI Information

  • NPI: 1629374301
  • Provider Name: YVONNE PEREZ KETTERING, LAC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 8701 SHOAL CREEK BLVD
    SUITE 302
    AUSTIN, TX
    ZIP 78757
  • Phone: (512) 801-2453

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NPI Details

Yvonne Perez Kettering, LAC is an acupuncturist in Austin, TX. 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. Yvonne Perez Kettering, LAC NPI is 1629374301. 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:

8701 SHOAL CREEK BLVD
SUITE 302
AUSTIN, TX
ZIP 78757-864
Phone: (512) 801-2453
Fax: (512) 420-8573

The enumeration date for this NPI number is 1/28/2011 and was last updated on 7/1/2013.

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
1172M00000XMechanotherapistMT107098TEXASNo
2171100000XAcupuncturistTXAC00847TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10031DGOTHERTEXASBLUE CROSS BLUE SHIELD
20944746-02MEDICAIDTEXAS
3456890MEDICARE OSCAR/CERTIFICATIONTEXAS

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: 3/30/2025

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