Provider Demographics
NPI:1861661118
Name:INTERNATIONAL ACADEMY OF MEDICAL REFLEXOLOGY
Entity Type:Organization
Organization Name:INTERNATIONAL ACADEMY OF MEDICAL REFLEXOLOGY
Other - Org Name:MEDICAL REFLEXOLOGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DEAN
Authorized Official - Prefix:PROF
Authorized Official - First Name:LORRAINA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:TELEPO
Authorized Official - Suffix:
Authorized Official - Credentials:MRP
Authorized Official - Phone:267-424-4549
Mailing Address - Street 1:304 9TH ST
Mailing Address - Street 2:HOSTED BY MCCANN SCHOOL OF BUSINESS AND TECHNOLOGY
Mailing Address - City:WEST EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-5418
Mailing Address - Country:US
Mailing Address - Phone:267-424-4549
Mailing Address - Fax:610-438-0196
Practice Address - Street 1:2200 N IRVING ST
Practice Address - Street 2:HOSTED BY MCCANN SCHOOL OF BUSINESS AND TECHNOLOGY
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-9601
Practice Address - Country:US
Practice Address - Phone:267-424-4549
Practice Address - Fax:610-438-0196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4537174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty