Individual provider · Type 1 NPI

Stacey L. Andersen, LAC WI#803-55/ LMT W

Acupuncturist · Kenosha, WI

NPI number 1376970764 Active

Practice location

5603 7th Ave
Kenosha, WI 53140

Mailing address

8607 Old Green Bay Rd
Kenosha, WI 53158

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist Primary 171100000X803-55 (WI)
Massage Therapist 225700000X4199-146 (WI)

Acupuncturist: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

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About NPI 1376970764

Stacey L. Andersen, LAC WI#803-55/ LMT W's National Provider Identifier is 1376970764, issued on Oct 1, 2013. The primary taxonomy on file is Acupuncturist (171100000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 1, 2013.