NPI 1790195766

Maria Morris, LAC

Practitioner Acupuncturist Ketchum, ID

Practice location

Address: 220 South 2nd Ave #101, Ketchum, ID 83340
Phone: (208) 721-7240
Mailing address: PO Box 5952, Ketchum, ID 83340-5952

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence ACU 225 (ID)

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Registry record

NPI: 1790195766
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2014
Record last updated: 30 Apr 2014

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.