Organization Name: | ACUPUNCTURE ALCHEMIST |
NPI Number: | 1093106288 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER M HOLLOMAN (ACUPUNCTURIST, MASSAGE THERAPIST) |
Mailing Address: | 1308 12th Ave S Great Falls |
State: | MT US |
Postal Code: | 594054607 |
Phone Number: | 4064525324 |
Fax Number: | 4064538887 |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3446 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |