Provider Demographics
NPI:1922354323
Name:BREINDEL, TRESSA (LAC, DIPL OM)
Entity Type:Individual
Prefix:
First Name:TRESSA
Middle Name:
Last Name:BREINDEL
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5540 FALMOUTH ST STE 307
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1800
Mailing Address - Country:US
Mailing Address - Phone:804-288-1111
Mailing Address - Fax:833-232-9770
Practice Address - Street 1:5540 FALMOUTH ST STE 307
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1800
Practice Address - Country:US
Practice Address - Phone:804-288-1111
Practice Address - Fax:833-232-9770
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO-1795171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist