Organization · NPI-2

Ancient Wisdom Healing Arts LLC

Acupuncturist · Santa Fe, NM

NPI number1659731032

StatusActive

Last updated in NPPESNov 20, 2019

Details

NPI: 1659731032
Entity type: Organization (NPI-2)
Legal business name: Ancient Wisdom Healing Arts LLC
Organization subpart: No
Enumeration date: Feb 29, 2016
Last updated: Nov 20, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
171100000X	Acupuncturist	–	–	Yes

Practice location

1301 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4042

Phone 505-210-2781

Mailing address

1301 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4042

Phone 505-210-2781 · Fax 505-303-3176

Other practice locations

1301 St. Francis Dr., Ste. C
Santa Fe, NM 87505

Phone 505-988-5106 · Fax 505-982-8366

Authorized official

Jacob Wilcox
Owner/Acupuncturist
5052102781

Is something wrong?

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.