Provider Demographics
NPI:1013491893
Name:TRANQUILITY ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:TRANQUILITY ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER/L.AC
Authorized Official - Prefix:
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-561-0832
Mailing Address - Street 1:6363 LOWRIDGE DR APT M
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9482
Mailing Address - Country:US
Mailing Address - Phone:937-561-0832
Mailing Address - Fax:
Practice Address - Street 1:232 N MAIN ST STE 1B
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1181
Practice Address - Country:US
Practice Address - Phone:937-561-0832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty