Michael Mull, MSAC., DIPL, LAC.RMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU.0002637 Issued in CO

Practice address

648 Avalon Dr
Grand Junction, CO 81504-6953

Phone

(720) 434-6603

NPI assigned

Jul 28, 2011

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1871871582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 AVALON DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046953",
            "telephone_number": "720-434-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 AVALON DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046953",
            "telephone_number": "720-434-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSAC., DIPL, LAC.RMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2023-01-11",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002637",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy A Mowat, MSW
• Vicky Frankfourth Moyle, LPC
• Christopher G Mroz, CRNA
• Atis Muehlenbachs, MD PHD
• Sarah Mueller
• Rita Mullally
• Jamie Rae Mullaney
• Kari L Mullaney, M.S., P.T.
• Joan Mulleady
• William Gregory Mullen, MD

• Acupuncturist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.