Individual provider Active NPI

Rachelle Renae Tetreault, LAC

  • Acupuncturist
  • Williamstown, MA
National Provider Identifier
1205353091
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
291393 Issued in MA
Practice address
63 Spring St Ste F
Williamstown, MA 01267-2889
Phone
(772) 353-1397
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Acupuncturist 171100000X
Acupuncturist 171100000X 291393 MA Primary

Addresses

Primary practice location

63 Spring St Ste F
Williamstown, MA 01267-2889

Mailing address

2706 N Pownal Rd
Pownal, VT 05261-9625
Phone (772) 353-1397

Other practice location 1

451 s.e. thanksgiiving avenue
port st. lucie, FL 34984
Phone (772) 626-6419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
291393MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Health on the Go, Inc. Acupuncturist CurrentSince May 11, 2025 Accepting new patients

Locations

63 Spring St
Ste F
Williamstown, MA 01267
Phone (772) 353-1397

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1205353091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 N POWNAL RD",
            "city": "POWNAL",
            "state": "VT",
            "postal_code": "052619625",
            "telephone_number": "772-353-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SPRING ST STE F",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672889",
            "telephone_number": "772-353-1397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 s.e. thanksgiiving avenue",
            "address_purpose": "LOCATION",
            "city": "port st. lucie",
            "state": "FL",
            "postal_code": "34984",
            "country_code": "US",
            "telephone_number": "772-626-6419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETREAULT",
        "first_name": "RACHELLE",
        "middle_name": "RENAE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "291393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.