Elena Marie Acquisto-Treaster, DC, MSACN
Individual provider Active NPI Nutrition Chiropractor · Peoria, AZ
NPI 1821320441 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1821320441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- 8577 (AZ)
- Practice address
- 14155 N 83Rd Ave Ste 102
Peoria, AZ 85381-5640 - Phone
- (623) 878-0475
- NPI assigned
- Feb 7, 2010
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8577 | AZ | MD | Nutrition Chiropractor |
| X011983-1 | NY | MD | Nutrition Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X011983-1 | NY | |
| Nutrition Chiropractor | 111NN1001X | 8577 | AZ | Yes |
Addresses
Primary practice location
14155 N 83Rd Ave Ste 102
Peoria, AZ 85381-5640
Mailing address
14155 N 83Rd Ave Ste 102
Peoria, AZ 85381-5640
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All providers in Peoria, AZ · Nutrition Chiropractor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. 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.