# MENDED ROOTS ACUPUNCTURE AND WELLNESS

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

## Provider details

- **NPI number:** 1609411495
- **Authorized official:** MR. ISAAC MUFFOLETTO LIC AC (OWNER/ACUPUNCTURIST)
- **Authorized official phone:** (978) 813-1120

## Contact information

- **Practice address:** 2 SHAKER RD STE B007, SHIRLEY, MA 01464-2585
- **Practice address phone:** (978) 813-1120
- **Practice address fax:** (978) 813-1126
- **Mailing address:** 2 SHAKER RD STE B007, SHIRLEY, MA 01464-2585
- **Mailing address phone:** (978) 813-1120
- **Mailing address fax:** (978) 813-1126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2019
- **Last updated:** 11/15/2019