Provider Demographics
NPI:1295339927
Name:NOURISH AND MOVE, PLLC
Entity type:Organization
Organization Name:NOURISH AND MOVE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:OMP, LMT, RYT(200)
Authorized Official - Phone:412-439-2281
Mailing Address - Street 1:1195 TRANTER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3037
Mailing Address - Country:US
Mailing Address - Phone:412-439-2281
Mailing Address - Fax:
Practice Address - Street 1:1195 TRANTER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3037
Practice Address - Country:US
Practice Address - Phone:412-439-2281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center