# ELEVATION ACUPUNCTURE & HERBS

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

## Provider details

- **NPI number:** 1841599982
- **Authorized official:** MRS. MELISSA VIDAIC L.AC. (OWNER/ACUPUNCTURIST)
- **Authorized official phone:** (303) 888-7895

## Contact information

- **Practice address:** 3101 IRIS AVE, SUITE 200, BOULDER, CO 80301-1994
- **Practice address phone:** (303) 888-7895
- **Mailing address:** 655 W LOCUST CT, LOUISVILLE, CO 80027-1018
- **Mailing address phone:** (303) 888-7895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1273 | CO | Yes |

## Other

- **Enumeration date:** 03/15/2011
- **Last updated:** 03/15/2011