Individual provider · NPI-1
Dr. Elena Marie Acquisto-Treaster, DC, MSACN
Chiropractor, Nutrition · Peoria, AZ
NPI number1821320441
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1821320441
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elena Marie Acquisto-Treaster
- Credential
- DC, MSACN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2010
- Certification date
- Oct 31, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN1001X | Chiropractor, Nutrition | 8577 | AZ | Yes |
| 111NN1001X | Chiropractor, Nutrition | X011983-1 | NY |
Practice location
14155 N 83rd Ave Ste 102Peoria, AZ 85381-5640
Phone 623-878-0475
Mailing address
14155 N 83rd Ave Ste 102Peoria, AZ 85381-5640
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