Risi Marie Idiokitas, L.AC.
Individual provider Active NPI Acupuncturist · Spencerville, MD
NPI 1447497151 · NPPES record last updated Sep 26, 2014
Key facts
- NPI
- 1447497151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- U01700 (MD)
- Practice address
- 2140 Spencerville Rd
Spencerville, MD 20868-3009 - Phone
- (240) 486-4295
- NPI assigned
- Jan 16, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| U01700 | MD | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01700 | MD | Yes |
Addresses
Primary practice location
2140 Spencerville Rd
Spencerville, MD 20868-3009
Mailing address
PO Box 305
Spencerville, MD 20868-0305
Phone (240) 486-4295
Other providers in Spencerville, MD
- Adjowa Sika Alidjah
- Bathsolutions Healthcare Agency, LLC
- Lillian Yvonne Ingram
- Susan Hippchen McCarron
- Hayden Patino
All providers in Spencerville, MD · Acupuncturist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2014. 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.