Individual
TARYN JODI ALTENDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3004 S 1ST ST, AUSTIN, TX 78704-6388
(512) 968-7773
Mailing address
3014 W WILLIAM CANNON DR APT 1122, AUSTIN, TX 78745-5151
(512) 968-7773
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01559
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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