Reannon R Untch, L.AC
Individual provider Active NPI Acupuncturist · Granby, CO
NPI 1295030443 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1295030443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- ACU.0002306 (CO)
- Practice address
- 55 First St.
Granby, CO 80446 - Phone
- (970) 281-3022
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| ACU.0002306 | CO | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU.0002306 | CO | Yes |
Addresses
Primary practice location
55 First St.
Granby, CO 80446
Mailing address
PO Box 1423
Granby, CO 80446-1423
Phone (970) 281-3022
Other names
- Reannon R Ruch
Other providers in Granby, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. 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.