MOUNTAIN SAGE ACUPUNCTURE PLLC (NPI# 1720686736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720686736 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN SAGE ACUPUNCTURE PLLC |
| Practice Address |
200 E Pine St Missoula MT 59802-4513 |
| Mailing Address |
Po Box 9153 Missoula MT 59807-9153 |
| Practice Telephone | 4065310689 |
| Mailing Telephone | 4065310689 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | HEATHER INGE ELLSWORTH (LICENSED ACUPUNCTURIST/OWNER) |
| Authorized Official Telephone | 4065310689 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE MEDICAL ACUPUNCTURE LICENSE | 18802 | 01 |
| Street Address |
200 E PINE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782949 | Andrea Rivera | Acupuncturist | 1852 South Ave W, Missoula, MT 59801-6510 | 2019-04-17 |
| 1003309667 | Shawn Robertson | Acupuncturist | 2005 Maple St, Missoula, MT 59808-2025 | 2018-06-08 |
| 1730697814 | Allison F. France | Acupuncturist | 801 Sherwood St Ste 1-45, Missoula, MT 59802-2659 | 2018-01-11 |
| 1639682560 | Maayan Avni | Acupuncturist | 101 E Broadway St Ste 513, Missoula, MT 59802-4510 | 2017-11-14 |
| 1720459456 | Missoula Acupuncture, Inc | Acupuncturist | 3031 S Russell St Ste 1, Missoula, MT 59801-8523 | 2015-10-07 |
| 1912344375 | Laura Bergoust Connolly | Acupuncturist | 126 E Broadway St Ste 9, Missoula, MT 59802-4565 | 2013-05-25 |
| 1245560218 | Heather Inge Ellsworth | Acupuncturist | 3031 S. Russell St. Ste 1, Missoula, MT 59801 | 2010-01-13 |
| 1356588594 | Karin N. Stallard | Acupuncturist | 315 S 4th St E, Missoula, MT 59801-2744 | 2009-01-09 |
| 1396990982 | Addie R. Harbin | Acupuncturist | 1753 S 14th St W, Missoula, MT 59801-4923 | 2008-11-24 |
| 1033371075 | Cassandra Wind | Acupuncturist | 2240 South Ave W, Missoula, MT 59801-6502 | 2008-07-01 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.