Provider Demographics
NPI:1467085316
Name:ROOT THERAPIES
Entity Type:Organization
Organization Name:ROOT THERAPIES
Other - Org Name:ROOT THERAPIES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:941-777-5505
Mailing Address - Street 1:4370 S TAMIAMI TRL STE 314
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3437
Mailing Address - Country:US
Mailing Address - Phone:941-777-5505
Mailing Address - Fax:
Practice Address - Street 1:4370 S TAMIAMI TRL STE 314
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3437
Practice Address - Country:US
Practice Address - Phone:941-777-5505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty