Provider Demographics
NPI:1497371389
Name:HEALTHY BODY ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:HEALTHY BODY ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HELMICK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DOM
Authorized Official - Phone:941-493-2688
Mailing Address - Street 1:1511 TAMIAMI TRL S STE 202
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-5578
Mailing Address - Country:US
Mailing Address - Phone:941-228-4688
Mailing Address - Fax:
Practice Address - Street 1:1511 TAMIAMI TRL S STE 202
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-5578
Practice Address - Country:US
Practice Address - Phone:941-228-4688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty