Jackie Koekkoek, MSOM, L AC., LMBT

NPI #1265784938 in Leland, North Carolina

Provider Information

NPI Number: 1265784938
Entity Type: Individual
Name: Jackie Koekkoek, MSOM, L AC., LMBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: MSOM, L AC., LMBT
Enumeration Date: Oct 5, 2012
Last Updated: Oct 5, 2012

Practice Location

Address: 1105 NEW POINTE BLVD
City: Leland
State: North Carolina
ZIP Code: 28451-4127
Phone: (303) 775-9908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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