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ANCIENT ROOTS ACUPUNCTURE AND HERBAL MEDICINE NPI 1700523040


NPI Information

NPI: 1700523040
Provider Name: ANCIENT ROOTS ACUPUNCTURE AND HERBAL MEDICINE
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
20 BLACKSTONE BLVD APT 14
PROVIDENCE, RI
ZIP 02906
Phone: (603) 557-5237
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ANCIENT ROOTS ACUPUNCTURE AND HERBAL MEDICINE is an acupuncturist in Providence, RI. 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. ANCIENT ROOTS ACUPUNCTURE AND HERBAL MEDICINE NPI is 1700523040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 BLACKSTONE BLVD APT 14
PROVIDENCE, RI
ZIP 02906-448
Phone: (603) 557-5237

The provider's authorized official is Tamra Portalla .
The authorized official title is Acupuncturist and has the following contact phone number (603) 557-5237.

The enumeration date for this NPI number is 5/18/2022 and was last updated on 5/18/2022.


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
1171100000XAcupuncturistYes

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: 11/14/2023

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