NPI 1174085229

Traci Ann Bredenkamp, LAC

Practitioner Acupuncturist Saint Charles, MO

Practice location

Address: 201 N Main St STE 210, Saint Charles, MO 63301-2878
Phone: (618) 207-8869

Registered specialties (2)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 2018043155 (MO)

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Prevention Professional

Other Service Providers Taxonomy 405300000X Licence 2018043155 (MO)

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Registry record

NPI: 1174085229
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2019
Record last updated: 23 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.