Provider Demographics
NPI:1588215115
Name:TCM ACUPUNCTURE CLINIC PC
Entity Type:Organization
Organization Name:TCM ACUPUNCTURE CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNNING
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:402-981-5313
Mailing Address - Street 1:1020 S 78TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-5411
Mailing Address - Country:US
Mailing Address - Phone:402-981-5313
Mailing Address - Fax:
Practice Address - Street 1:1020 S 78TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-5411
Practice Address - Country:US
Practice Address - Phone:402-981-5313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
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