Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN BETH CUSTER, LAC
Active Sole ProprietorCAROLYN BETH CUSTER, LAC is a Acupuncturist healthcare provider located in JEFFERSON, Wisconsin. NPI 1679872576 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · JEFFERSON, WI
Registration Details
- NPI Number
- 1679872576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2011 (15.366008287242 yrs)
- Last Updated
- Mar 13, 2020
- License
-
636-55 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 S MAIN ST STE 2AJEFFERSON, WI, 535491657Browse WI providers · Browse ZIP 53549
- Phone
- 9206746707
- Fax
- 9206746707
- Primary Specialty
-
Acupuncturist
171100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.