Provider Demographics
NPI:1073800876
Name:INTUITIVE BALANCE ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:INTUITIVE BALANCE ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-244-6622
Mailing Address - Street 1:4155 E JEWELL AVE STE 414
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4508
Mailing Address - Country:US
Mailing Address - Phone:720-244-6222
Mailing Address - Fax:
Practice Address - Street 1:4155 E JEWELL AVE STE 414
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4508
Practice Address - Country:US
Practice Address - Phone:720-244-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1540171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty