National Provider Identifier
Olivia Maddock, L.AC.
Olivia Maddock, L.AC. is listed in the NPPES registry with a primary specialty of Acupuncturist in North Tonawanda, NY and a listed phone number of (716) 694-2225.
Profile Overview
- NPI
- 1407457732
- Provider Type
- Individual
- Primary Specialty
- Acupuncturist
- Enumeration Date
- November 03, 2020
- Last Updated
- August 26, 2021
Practice Location
- 84 Sweeney St Ste 1
- North Tonawanda, NY 14120-5822
Phone: (716) 694-2225
Mailing Address
- 82 Washington St
- North Tonawanda, NY 14120-6544
Specialties
- Acupuncturist (171100000X)
Full Record
- NPI
- 1407457732
- Entity Type
- Individual
- Last Name
- Maddock
- First Name
- Olivia
- Credential
- L.AC.
- Mailing Street Address
- 82 Washington St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-6544
- Mailing Country
- US
- Mailing Phone
- (315) 879-7416
- Practice Street Address
- 84 Sweeney St Ste 1
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-5822
- Practice Country
- US
- Practice Phone
- (716) 694-2225
- Enumeration Date
- November 03, 2020
- Last Updated
- August 26, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acupuncturist (171100000X)