Provider Demographics
NPI:1164273645
Name:ACU HERB & TONIC LTD
Entity Type:Organization
Organization Name:ACU HERB & TONIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ELENI ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:KELAIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-352-1895
Mailing Address - Street 1:4740 OTIS ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-3603
Mailing Address - Country:US
Mailing Address - Phone:720-352-1895
Mailing Address - Fax:
Practice Address - Street 1:1307 E 38TH 1/2 ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-1821
Practice Address - Country:US
Practice Address - Phone:720-352-1895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty