Provider Demographics
NPI:1710380225
Name:RELIEF ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:RELIEF ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAKUBIAK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-818-7674
Mailing Address - Street 1:W192S6560 HILLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-9688
Mailing Address - Country:US
Mailing Address - Phone:619-818-7674
Mailing Address - Fax:
Practice Address - Street 1:W62N265 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-2736
Practice Address - Country:US
Practice Address - Phone:262-872-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI835-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty