Provider Demographics
NPI:1346590866
Name:NATURAL ALTERNATIVES ACUPUNCTURE AND WELLNESS LLC.
Entity Type:Organization
Organization Name:NATURAL ALTERNATIVES ACUPUNCTURE AND WELLNESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENHAILE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:612-790-5505
Mailing Address - Street 1:2724 GARFIELD AVE # 1
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1344
Mailing Address - Country:US
Mailing Address - Phone:612-790-5505
Mailing Address - Fax:
Practice Address - Street 1:1036 CLEVELAND AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1826
Practice Address - Country:US
Practice Address - Phone:612-790-5505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1465261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center