Provider Demographics
NPI:1013791896
Name:ACUPUNCTURE AND HEALING ARTS
Entity Type:Organization
Organization Name:ACUPUNCTURE AND HEALING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASMUSSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:386-742-9454
Mailing Address - Street 1:135 DELEON RD
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-2903
Mailing Address - Country:US
Mailing Address - Phone:386-742-9454
Mailing Address - Fax:
Practice Address - Street 1:156 S CHARLES RICHARD BEALL BLVD STE 2
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-3273
Practice Address - Country:US
Practice Address - Phone:386-742-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty