Bodhi Wellness
Organization Active NPI Acupuncturist · Shirley, NY
NPI 1821581083 · NPPES record last updated Jun 12, 2018
Key facts
- NPI
- 1821581083
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- License
- 005453 (NY)
- Legal business name
- BODHI WELLNESS
- Practice address
- 28 Arpage Dr E
Shirley, NY 11967-3806 - Phone
- (631) 235-7511
- NPI assigned
- Jun 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Kathryn Kops, DAC, LAC, LMT
- Title
- Owner
- Phone
- (631) 235-7511
Practitioners 1
-
Kathryn McGovern, DAC, LAC, LMT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | 005453 | NY | Yes |
Addresses
Primary practice location
28 Arpage Dr E
Shirley, NY 11967-3806
Mailing address
28 Arpage Dr E
Shirley, NY 11967-3806
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2018. 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.