CAROLYN BETH CUSTER LAC
NPI 1679872576
Acupuncturist in Jefferson, WI

Q: What is Carolyn Custer's NPI number?

The NPI number for Carolyn Custer is 1679872576. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Q: What is Carolyn Custer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Custer was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 18, 2011

112 S MAIN ST STE 2A, JEFFERSON, WI 53549(920) 674-6707(920) 674-6707 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carolyn Beth Custer Lac NPPES

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

CAROLYN BETH CUSTER LAC (NPI 1679872576) is an individual acupuncturist in Jefferson, Wisconsin, licensed in Wisconsin (636-55) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1679872576

Entity TypeIndividualFemale

Primary Taxonomy171100000X

Provider Legal NameCAROLYN BETH CUSTERCredential: LAC

Location Address112 S MAIN ST STE 2AJefferson, WI 53549-1657

Mailing Address112 S Main St Ste 2aJefferson, WI 53549-1657 · (920) 674-6707 · Fax (920) 674-6707

Phone(920) 674-6707

Fax(920) 674-6707

Sole ProprietorYes

Enumeration DateMarch 18, 2011

Last NPPES UpdateMarch 13, 2020

NPPES CertifiedMarch 13, 2020

✔ NPI 1679872576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in WI · 636-55

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.

112 S MAIN ST STE 2A, Jefferson, WI 53549

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Other Identifiers 1

Other1679872576WI · Cms

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 Carolyn Custer's NPI number?

The NPI number for Carolyn Custer is 1679872576. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Where is Carolyn Custer located?

Carolyn Custer practices at 112 S Main St Ste 2A, Jefferson, WI 53549. The listed phone number is (920) 674-6707.

What is Carolyn Custer'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 Carolyn Custer was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.