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Active NPI 1891097895 Individual Practitioner Male Practitioner

Joshua Revermann , LAC

Acupuncturist • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Joshua Revermann, LAC is a registered healthcare professional specializing in Acupuncturist in Saint Cloud, MN. Practice services are available at 2001 STOCKINGER DR STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2001 Stockinger Dr Ste 101

Saint Cloud, MN 563031243

Telephone 3202003236
Associated Practice Facility / Clinic
🏢 Centracare Clinic Facility NPI 1134665359

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Saint Cloud, MN (647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License MN 1511

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License MN 171040

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Secondary Practice Locations

234 Pinecone Road

Sartell, MN 563772503

Phone: 3202535255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Theresa Lalim

Massage Therapist

NPI 1487111837
Shawn Linn

Massage Therapist

NPI 1518444777
Simon Hochuli , LAC

Acupuncturist

NPI 1801507058

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Massage Therapist (License #171040 in MN)

NPI Profile Active February 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2018

Registered at 2001 STOCKINGER DR STE 101, SAINT CLOUD, MN 563031243 (Tel: 3202003236)

📍
Updated Business Mailing Address February 08, 2018

Registered at 36208 COUNTY ROAD 4, SAINT JOESEPH, MN 563744602 (Tel: 5072275324)

👤
Provider Name / Credentials Updated February 08, 2018

Recorded as JOSHUA REVERMANN, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2018

Massage Therapist (License #171040 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2018

Acupuncturist (License #1511 in MN)

NPI Profile Active January 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2012

Registered at 234 PINECONE ROAD, SARTELL, MN 563772503 (Tel: 3202535255)

📍
Updated Business Mailing Address January 18, 2012

Registered at 36208 COUNTY ROAD 4, SAINT JOESEPH, MN 563744602 (Tel: 5072275324)

👤
Provider Name / Credentials Updated January 18, 2012

Recorded as JOSHUA REVERMANN, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2012

Acupuncturist (License #1511 in MN)

🟢
Initial NPI Registration & Enumeration November 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891097895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2010
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

36208 County Road 4

Saint Joeseph, MN 563744602

Phone: 5072275324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.