Whitney Jacqueline Bird, L.AC, DACM

Individual provider Active NPI Acupuncturist · Mill Valley, CA

NPI 1942772090 · NPPES record last updated Apr 10, 2023

Key facts

NPI
1942772090
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
18305 (CA)
Practice address
147 Lomita Dr Ste C
Mill Valley, CA 94941-1462
Phone
(415) 450-5182
NPI assigned
Dec 28, 2018
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

LicenseStateTypeSpecialty
18305CAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18305 CA Yes

Addresses

Primary practice location

147 Lomita Dr Ste C
Mill Valley, CA 94941-1462

Mailing address

4444 Redwood Rd
Napa, CA 94558-9709
Phone (415) 450-5182

Other providers in Mill Valley, CA

All providers in Mill Valley, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.