Regan Jay Archibald, Lac.
Acupuncturist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1164623765
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164623765
- Entity type
- Individual (NPI-1)
- Name
- Regan Jay Archibald
- Credential
- Lac.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 20041684 | UT | Yes |
Practice location
34 S 500 E Ste 103Salt Lake City, UT 84102-1094
Phone 801-582-2011 · Fax 801-359-8478
Mailing address
34 S 500 E Ste 103Salt Lake City, UT 84102-1094
Phone 801-582-2011 · Fax 801-359-8478
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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