Provider Demographics
NPI:1376800144
Name:EARTH TO SKY LLC
Entity Type:Organization
Organization Name:EARTH TO SKY LLC
Other - Org Name:CHAKRABODY FUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:AUER-SEARS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:319-594-1656
Mailing Address - Street 1:985 LONGFELLOW CT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6264
Mailing Address - Country:US
Mailing Address - Phone:219-594-1656
Mailing Address - Fax:
Practice Address - Street 1:361 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1690
Practice Address - Country:US
Practice Address - Phone:319-594-1656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty