Provider Demographics
NPI:1689213498
Name:TRI-CITIES ACUPUNCTURE AND WELLNESS LLC.
Entity Type:Organization
Organization Name:TRI-CITIES ACUPUNCTURE AND WELLNESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER /ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:COMBS-ROBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-900-2424
Mailing Address - Street 1:4006 FORT HENRY DR # 2
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-2028
Mailing Address - Country:US
Mailing Address - Phone:423-900-2424
Mailing Address - Fax:
Practice Address - Street 1:4006 FORT HENRY DR # 2
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37663-2028
Practice Address - Country:US
Practice Address - Phone:423-900-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty