Provider Demographics
NPI:1659091379
Name:ELEVATE ACUPUNCTURE AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:ELEVATE ACUPUNCTURE AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:830-255-7455
Mailing Address - Street 1:208 HALEY RD STE B
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78636-4617
Mailing Address - Country:US
Mailing Address - Phone:830-255-7455
Mailing Address - Fax:
Practice Address - Street 1:208 HALEY RD STE B
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TX
Practice Address - Zip Code:78636-4617
Practice Address - Country:US
Practice Address - Phone:830-255-7455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty