# TIDEWATER ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356061642
- **Authorized official:** MS. KATHERINE ROSE ZEIGLER MAC (LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (202) 744-5480

## Contact information

- **Practice address:** 13 ELM ST STE 1B, MANCHESTER BY THE SEA, MA 01944-1366
- **Practice address phone:** (202) 744-5480
- **Mailing address:** 58 MARTIN ST, ESSEX, MA 01929-1256
- **Mailing address phone:** (202) 744-5480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 08/29/2022
