Jennifer L Kolter, L.AC.
Individual provider Active NPI Acupuncturist · Henderson, MN
NPI 1235599077 · NPPES record last updated Dec 9, 2017
Key facts
- NPI
- 1235599077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1807 (MN)
- Practice address
- 522 Main St
Henderson, MN 56044-7709 - Phone
- (507) 868-0053
- NPI assigned
- Mar 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1807 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson Healing Hub, LLC | Acupuncturist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1583 | MN | |
| Acupuncturist |
171100000X | 1807 | MN | Yes |
Addresses
Primary practice location
522 Main St
Henderson, MN 56044-7709
Mailing address
522 Main St
PO Box 266
Henderson, MN 56044-7709
Phone (507) 868-0053
Other providers in Henderson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.