| NPI | 1457238040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE PETERSON Owner 740-361-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |