Provider Demographics
NPI:1790318038
Name:KELSEY LOWITZ INTEGRATIVE HEALTH
Entity Type:Organization
Organization Name:KELSEY LOWITZ INTEGRATIVE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-378-5379
Mailing Address - Street 1:4110 REDWOOD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2370
Mailing Address - Country:US
Mailing Address - Phone:510-788-0381
Mailing Address - Fax:510-201-5918
Practice Address - Street 1:4110 REDWOOD RD STE 102
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2370
Practice Address - Country:US
Practice Address - Phone:510-788-0381
Practice Address - Fax:510-201-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty