OrganizationAutumn Bear Acupuncture Pllc(<Unavail>)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address5532 Lillehammer Ln Ste 102, Park City, UT 84098-6078(435) 659-7633PECOS EnrollmentBased on the most recent information from CMS, provider Autumn Bear Acupuncture Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1841614625Provider TypeOrganizationFull NameAutumn Bear Acupuncture PllcOther Name<Unavail>SubpartNoEnumeration Date2/13/2014Last Updated7/31/2025Contact InformationPractice LocationPractice Address5532 Lillehammer Ln Ste 102, Park City, UT 84098-6078Phone(435) 659-7633FaxUnlisted FaxMailing LocationMailing Address5532 Lillehammer Ln Ste 102, Park City, UT 84098-6078Phone(435) 659-7633Fax(971) 397-0394Authorized OfficialNameBear, Autumn (Owner)Phone(646) 415-1406Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1942524566DescriptionOtherIssuerPERSONAL NPINew York