Organization
ACUPUNCTURE BY THE LAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY SCHULTZ LAC, DTCM (OWNER)
(920) 629-6126
Entity
Organization
Contact information
Practice address
2510 WASHINGTON ST, MANITOWOC, WI 54220-4858
(920) 629-6126
(920) 243-4516
Mailing address
2510 WASHINGTON ST, MANITOWOC, WI 54220-4858
(920) 629-6126
(920) 374-4736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356424691
—
WI
Enumeration date
05/09/2024
Last updated
07/15/2025
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