Provider Demographics
NPI:1619026267
Name:MYERS, ARLENE G (LIC AC)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:G
Last Name:MYERS
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ACUPUNCTURE & ASSOC. THERAPIES
Mailing Address - Street 2:681 FALMOUTH ROAD
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649
Mailing Address - Country:US
Mailing Address - Phone:508-539-0299
Mailing Address - Fax:
Practice Address - Street 1:ACUPUNCTURE & ASSOC. THERAPIES
Practice Address - Street 2:681 FALMOUTH ROAD
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:508-539-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA245171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist