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FORMLESS FORM QIGONG & ACUPUNCTURE
NPI 1306199864
Acupuncturist in Minneapolis, MN

Active since October 22, 2012
5603 CHICAGO AVE, MINNEAPOLIS, MN 55417(612) 708-0753 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Formless Form Qigong & Acupuncture NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMLESS FORM QIGONG & ACUPUNCTURE (NPI 1306199864) is a healthcare organization registered as an acupuncturist in Minneapolis, Minnesota and active in the NPI registry since October 2012. The organization lists Peng Roden Her, Owner, as its authorized official.

NPPES Registry Identity

NPI1306199864
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameFORMLESS FORM QIGONG & ACUPUNCTURE
Location Address5603 CHICAGO AVEMinneapolis, MN 55417-2429
Mailing Address5603 Chicago AveMinneapolis, MN 55417-2429 · (612) 708-0753
Phone(612) 708-0753
Organization SubpartNo
Authorized OfficialPeng Roden HerOwner · (612) 708-0753
Enumeration DateOctober 22, 2012
Last NPPES UpdateMarch 1, 2018
✔ NPI 1306199864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in MN · 1588
Definition
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.
5603 CHICAGO AVE, Minneapolis, MN 55417
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN FORREST DIPL.AC, LAC
Acupuncturist
5603 CHICAGO AVE
MINNEAPOLIS, MN 55417
Hennepin County (952) 228-9601
KATELYN STECKLER
Massage Therapist
5603 CHICAGO AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 817-6852
MR. PENG RODEN HER L.AC.
Acupuncturist
5603 CHICAGO AVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 708-0753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Formless Form Qigong & Acupuncture's NPI number?

The NPI number for Formless Form Qigong & Acupuncture is 1306199864. It was assigned to this organization in the NPPES registry on October 22, 2012.

Where is Formless Form Qigong & Acupuncture located?

Formless Form Qigong & Acupuncture is located at 5603 Chicago Ave, Minneapolis, MN 55417. The listed phone number is (612) 708-0753.

What is Formless Form Qigong & Acupuncture's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Formless Form Qigong & Acupuncture was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.