Provider Demographics
NPI:1518007525
Name:THE FLOW OF LIFE INCORPORATED
Entity Type:Organization
Organization Name:THE FLOW OF LIFE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTASCIO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPL OM
Authorized Official - Phone:602-380-4995
Mailing Address - Street 1:4028 N GRANITE REEF RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4921
Mailing Address - Country:US
Mailing Address - Phone:602-380-4995
Mailing Address - Fax:
Practice Address - Street 1:8390 E VIA DE VENTURA
Practice Address - Street 2:SUITE F114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3190
Practice Address - Country:US
Practice Address - Phone:480-998-7501
Practice Address - Fax:480-998-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0469171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty