Provider Demographics
NPI:1922233170
Name:ACU & MASSAGE WELLNESS, LLC
Entity Type:Organization
Organization Name:ACU & MASSAGE WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:WIGNER
Authorized Official - Last Name:ISAACS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-780-2840
Mailing Address - Street 1:2231 S PLATTE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-4017
Mailing Address - Country:US
Mailing Address - Phone:303-780-2840
Mailing Address - Fax:303-922-9688
Practice Address - Street 1:2231 S PLATTE RIVER DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-4017
Practice Address - Country:US
Practice Address - Phone:303-780-2840
Practice Address - Fax:303-922-9688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO664171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty