Provider Demographics
NPI:1497177463
Name:TRANQUIL PATH ACUPUNCTURE & HEALING ARTS
Entity Type:Organization
Organization Name:TRANQUIL PATH ACUPUNCTURE & HEALING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:610-653-0310
Mailing Address - Street 1:5475 HAMILTON BLVD TRLR 30
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9199
Mailing Address - Country:US
Mailing Address - Phone:610-653-0310
Mailing Address - Fax:
Practice Address - Street 1:1245 S CEDAR CREST BLVD STE 202
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6258
Practice Address - Country:US
Practice Address - Phone:610-653-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001041171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty