Organization
BODYTECH ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTAIN LEE PETERSEN L.AC. (OWNER)
(910) 200-8806
Entity
Organization
Contact information
Practice address
109 HINTON AVE, # 10, WILMINGTON, NC 28403-4786
(910) 200-8806
Mailing address
109 HINTON AVE, # 10, WILMINGTON, NC 28403-4786
(910) 200-8806
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
317
NC
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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