Yelty Koe, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2069 Issued in MN

Practice address

7101 York Ave S Ste 340
Edina, MN 55435-4408

Phone

(612) 440-4449

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1376396622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 BIMINI DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439412",
            "telephone_number": "262-271-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 340",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354408",
            "telephone_number": "612-440-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOE",
        "first_name": "YELTY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason John Koch, MD
• Tessa Kay Marie Parker Koch, FNP-BC
• Marianne Kochinski, OTR
• David Kocoj, MD
• Kodiak Recovery
• Magdalene Koethe, DCC
• Amanda Kohlmeier, M.D.
• Angela Esther Koich, MS, LAT, ATC
• Leigh Koidahl, M.D.
• Emily Chiesa Koller, OTD, OTR/L

• Acupuncturist in Edina, MN
• Providers in Edina, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.