Provider Demographics
NPI:1255747747
Name:EAST WIND THERAPIES, INC.
Entity type:Organization
Organization Name:EAST WIND THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:REGIER
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:407-677-9993
Mailing Address - Street 1:1954 HOWELL BRANCH RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1041
Mailing Address - Country:US
Mailing Address - Phone:407-677-9993
Mailing Address - Fax:407-677-9902
Practice Address - Street 1:1954 HOWELL BRANCH RD
Practice Address - Street 2:SUITE 112
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1041
Practice Address - Country:US
Practice Address - Phone:407-677-9993
Practice Address - Fax:407-677-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP553171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty