Provider Demographics
NPI:1639848708
Name:HEALING THERAPEUTICS LLC
Entity Type:Organization
Organization Name:HEALING THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:952-201-2744
Mailing Address - Street 1:12677 HIGHWAY 7 E
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-7468
Mailing Address - Country:US
Mailing Address - Phone:952-201-2744
Mailing Address - Fax:
Practice Address - Street 1:75 HASSAN ST SE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-2521
Practice Address - Country:US
Practice Address - Phone:952-201-2744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
999999999OtherNON-MEDICARE