Active NPI
Thao Loc Hanh Tran, DCM
- Acupuncturist
- St Louis Park, MN
National Provider Identifier
1760243612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2047
- Practice address
- Impact Massage and Bodyworks, St. Louis Park
6250 Excelsior Blvd Ste 103
St. Louis Park, MN 55416 - Phone
- (763) 614-0363
- NPI assigned
- Jan 18, 2024
- Last updated
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2047 | MN | Primary |
Addresses
Primary practice location
Impact Massage and Bodyworks, St. Louis Park
6250 Excelsior Blvd Ste 103
St. Louis Park, MN 55416
Mailing address
6250 Excelsior Blvd
Ste103
St. Louis Park, MN 55416
Phone (763) 614-0363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2047 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1760243612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6250 EXCELSIOR BLVD",
"address_2": "STE103",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "763-614-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IMPACT MASSAGE AND BODYWORKS, ST. LOUIS PARK",
"address_2": "6250 EXCELSIOR BLVD STE 103",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "763-614-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THAO",
"middle_name": "LOC HANH",
"credential": "DCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "2047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.