Provider Demographics
NPI:1578054631
Name:HEALING HANDS ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:HEALING HANDS ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:REHRER
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:352-682-6206
Mailing Address - Street 1:798 GILDA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-7604
Mailing Address - Country:US
Mailing Address - Phone:352-682-6206
Mailing Address - Fax:
Practice Address - Street 1:2225 A1A S STE B1
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-7906
Practice Address - Country:US
Practice Address - Phone:352-682-6206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3379261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center