IndividualActive
Autumn Bear, L.AC
NPI 1942524566 · Acupuncturist · Park City, UT
Provider details
- NPI number
- 1942524566
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- L.AC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0042741 (NY)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
5532 Lillehammer Ln Ste 102
Park City, UT 84098-6078
Phone: (435) 659-7633
Fax: (971) 397-0394
Approximate (ZIP-level) locationGet directions
Mailing address
5532 Lillehammer Ln Ste 102
Park City, UT 84098-6078
Registry dates
- Enumerated
- 2010-03-25
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.