Provider Demographics
NPI:1508289232
Name:HOLISTIC HEALTH GURUS
Entity Type:Organization
Organization Name:HOLISTIC HEALTH GURUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HOLISTIC HEALTH PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATZER
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:619-665-3466
Mailing Address - Street 1:3026 N PARK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3626
Mailing Address - Country:US
Mailing Address - Phone:619-333-8733
Mailing Address - Fax:
Practice Address - Street 1:3026 N PARK WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3626
Practice Address - Country:US
Practice Address - Phone:619-333-8733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty