Melissa Krajeski, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

6734651-1201 Issued in UT

Practice address

1816 Prospector Ave
Suite 202
Park City, UT 84060-7480

Phone

(435) 659-9464

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1972859965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 PROSPECTOR AVE",
            "address_2": "SUITE 202",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607480",
            "telephone_number": "435-659-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 PROSPECTOR AVE",
            "address_2": "SUITE 202",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607480",
            "telephone_number": "435-659-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJESKI",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "6734651-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy S Koch, P.T.A.
• Zachry R Koch, P.T.
• Carol Sue Kofford
• Nathaniel David Kofford, M.D., MSPH
• Brian S. Krachman, D.O.
• Wyatt T Krajeski, LICENSED ACU
• Matthew James Krammen, DPT
• Arthur James Labelle, D.C.
• Nicole Lee Ladouceur, OTRL
• Colton T Lambert, PA-C

• Acupuncturist in Park City, UT
• Providers in Park City, UT by specialty
• Acupuncturist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.