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MISTY MOUNTAIN MEDICINE NPI 1982873287


NPI Information

NPI: 1982873287
Provider Name: MISTY MOUNTAIN MEDICINE

Other Name: FIREHEALER

Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
3555 MERRIMENT WAY
COLORADO SPRINGS, CO
ZIP 80917
Phone: (505) 366-4033
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MISTY MOUNTAIN MEDICINE is an acupuncturist in Colorado Springs, CO. 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. MISTY MOUNTAIN MEDICINE NPI is 1982873287. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Firehealer.

The provider's business location address is:

3555 MERRIMENT WAY
COLORADO SPRINGS, CO
ZIP 80917-557
Phone: (505) 366-4033

The provider's authorized official is Lacretia Yvonne Bajwa .
The authorized official title is Owner and has the following contact phone number (505) 366-4033.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 10/25/2010.


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
1171100000XAcupuncturistNEW MEXICONo
2171100000XAcupuncturist1613COLORADOYes

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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