Provider Demographics
NPI:1831459718
Name:PATH TO WELLNESS
Entity Type:Organization
Organization Name:PATH TO WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:775-825-1912
Mailing Address - Street 1:6135 LAKESIDE DR
Mailing Address - Street 2:SUITE 119
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8504
Mailing Address - Country:US
Mailing Address - Phone:775-825-1912
Mailing Address - Fax:775-322-1010
Practice Address - Street 1:6135 LAKESIDE DR
Practice Address - Street 2:SUITE 119
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8504
Practice Address - Country:US
Practice Address - Phone:775-825-1912
Practice Address - Fax:775-322-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1013171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty