Provider Demographics
NPI:1508347303
Name:NEWTON, TORI (LAC, DAOM)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LAC, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 E COLUMBARD DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-5007
Mailing Address - Country:US
Mailing Address - Phone:805-794-2850
Mailing Address - Fax:
Practice Address - Street 1:2071 E COLUMBARD DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-5007
Practice Address - Country:US
Practice Address - Phone:805-794-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16914171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist