Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khailitha Fae, LAC, DOM

Individual provider Acupuncturist · NPI 1972913234

Khailitha Fae, LAC, DOM is an Acupuncturist in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona and New Mexico.

Licensed in
AZ, NM
In the registry since
2014
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

119 Garden St Ste B
Prescott, AZ 86305-2913
Phone: (928) 225-1655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 0780 (AZ)
Acupuncturist Taxonomy 171100000X · Licence 1020 (NM)

Record details

NPI number1972913234
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , DOM
Sole proprietorYes
NPI enumeratedMay 7, 2014
Last updated in NPPESMay 7, 2014

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