Provider Demographics
NPI:1215200878
Name:GT SPIRITUAL ENTERPRISES, INC.
Entity Type:Organization
Organization Name:GT SPIRITUAL ENTERPRISES, INC.
Other - Org Name:D/B/A ZEN BODY-ZEN HEALTH AND ASIAN TEA ROOM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:TOMLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DOM, AP
Authorized Official - Phone:941-556-9174
Mailing Address - Street 1:25 SOUTH OSPREY AVENUE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236
Mailing Address - Country:US
Mailing Address - Phone:941-556-9174
Mailing Address - Fax:941-556-9175
Practice Address - Street 1:25 SOUTH OSPREY AVENUE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236
Practice Address - Country:US
Practice Address - Phone:941-556-9174
Practice Address - Fax:941-556-9175
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GT SPIRITUAL ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2694171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty