Organization
SSA ACU ENDEAVORS LLC
Active
Other names
Modern Accupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ACKLEY LAC (FRANCHISE OWNER)
(623) 266-8688
Entity
Organization
Contact information
Practice address
20022 N 67TH AVE STE A116, GLENDALE, AZ 85308-4619
(623) 335-0875
Mailing address
823 E IRVINE RD, PHOENIX, AZ 85086-8447
(623) 266-8688
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
10/29/2020
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