Individual
TERESA GROTKOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1221 NOBLE ST, FAIRBANKS, AK 99701-4979
(907) 456-4234
Mailing address
SEESTR. 18, HAMBURG, HAMBURG 22607
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-160
HI
Other
Enumeration date
05/18/2015
Last updated
07/25/2015
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