Provider Demographics
NPI:1528837986
Name:TERHUNE, MEGHAN COLLETTE (DACM, LAC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:COLLETTE
Last Name:TERHUNE
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:COLLETTE
Other - Last Name:BUSSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3835 SPENARD RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-2678
Mailing Address - Country:US
Mailing Address - Phone:907-687-0667
Mailing Address - Fax:
Practice Address - Street 1:3835 SPENARD RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-2678
Practice Address - Country:US
Practice Address - Phone:907-274-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK217291171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist