Provider Demographics
NPI:1174843981
Name:THE CIRCLE OF HEALING ARTS
Entity Type:Organization
Organization Name:THE CIRCLE OF HEALING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:651-784-2527
Mailing Address - Street 1:P.O. BOX 574
Mailing Address - Street 2:
Mailing Address - City:CIRCLE PINES
Mailing Address - State:MN
Mailing Address - Zip Code:55014
Mailing Address - Country:US
Mailing Address - Phone:651-784-2527
Mailing Address - Fax:
Practice Address - Street 1:7094 LAKE DR
Practice Address - Street 2:SUITE 180
Practice Address - City:LINO LAKES
Practice Address - State:MN
Practice Address - Zip Code:55014-2091
Practice Address - Country:US
Practice Address - Phone:651-784-2527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty