Provider Demographics
NPI:1194007435
Name:INNERSPRING ACUPUNCTURE & WELLBEING INC.
Entity Type:Organization
Organization Name:INNERSPRING ACUPUNCTURE & WELLBEING INC.
Other - Org Name:INTEGRATIVE WELLNESS INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:LDN, LICAC
Authorized Official - Phone:978-461-2001
Mailing Address - Street 1:132 GREAT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STOW
Mailing Address - State:MA
Mailing Address - Zip Code:01775
Mailing Address - Country:US
Mailing Address - Phone:978-461-2001
Mailing Address - Fax:866-709-1684
Practice Address - Street 1:132 GREAT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775
Practice Address - Country:US
Practice Address - Phone:978-461-2001
Practice Address - Fax:866-709-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2598133V00000X
MA230194171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty