Provider Demographics
NPI:1083308019
Name:ACUPUNCTURE ALCHEMY CHARTERED
Entity Type:Organization
Organization Name:ACUPUNCTURE ALCHEMY CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ACUPUNCTURE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:ARINES
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:727-999-1221
Mailing Address - Street 1:6900 17TH WAY N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-6542
Mailing Address - Country:US
Mailing Address - Phone:727-999-1221
Mailing Address - Fax:
Practice Address - Street 1:31 57TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-7927
Practice Address - Country:US
Practice Address - Phone:727-999-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty