Organization
BODHI TREE ACUPUNCTURE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE KUPIETZ (ACUPUNCTURIST)
(262) 721-8101
Entity
Organization
Contact information
Practice address
343 W CHESTNUT ST, BURLINGTON, WI 53105-1145
(262) 721-8101
Mailing address
343 W CHESTNUT ST, BURLINGTON, WI 53105-1145
(262) 721-8101
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
757-55
WI
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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