Provider Demographics
NPI:1760169684
Name:FIVE POINTS WELLNESS, LLC
Entity Type:Organization
Organization Name:FIVE POINTS WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ACUPUNCTURE, LICENSED ACU
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:719-960-9890
Mailing Address - Street 1:460 COUNTY ROAD 43 STE 4
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:CO
Mailing Address - Zip Code:80421-2504
Mailing Address - Country:US
Mailing Address - Phone:719-960-9890
Mailing Address - Fax:
Practice Address - Street 1:460 COUNTY ROAD 43 STE 4
Practice Address - Street 2:
Practice Address - City:BAILEY
Practice Address - State:CO
Practice Address - Zip Code:80421-2504
Practice Address - Country:US
Practice Address - Phone:719-960-9890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIVE POINTS WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty