Kristine Cloutier, C.AC.

Individual provider Active NPI Acupuncturist · Eagle River, WI

NPI 1366933152 · NPPES record last updated May 29, 2018

Key facts

NPI
1366933152
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
729-055 (WI)
Practice address
109 S Main St.
Eagle River, WI 54521
Phone
(715) 477-2431
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
729-055WIMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 729-055 WI Yes

Addresses

Primary practice location

109 S Main St.
Eagle River, WI 54521

Mailing address

PO Box 1777
Eagle River, WI 54521-1777
Phone (715) 477-2431

Other providers in Eagle River, WI

All providers in Eagle River, WI · Acupuncturist in Wisconsin

Sources for this page

Verify at the official NPI Registry.