Provider Demographics
NPI:1932064292
Name:GACESA, KRISTINA (L AC)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:GACESA
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 3RD AVE SE STE 401
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4613
Mailing Address - Country:US
Mailing Address - Phone:507-258-7771
Mailing Address - Fax:
Practice Address - Street 1:300 3RD AVE SE STE 401
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4613
Practice Address - Country:US
Practice Address - Phone:507-258-7771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-18
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1937171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist