Provider Demographics
NPI:1336556141
Name:TWO TURTLES ACUPUNCTURE CENTER
Entity Type:Organization
Organization Name:TWO TURTLES ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPADER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:701-478-2898
Mailing Address - Street 1:1001 CENTER AVE
Mailing Address - Street 2:STE K
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-2080
Mailing Address - Country:US
Mailing Address - Phone:218-287-4501
Mailing Address - Fax:701-660-1052
Practice Address - Street 1:1001 CENTER AVE
Practice Address - Street 2:STE K
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2080
Practice Address - Country:US
Practice Address - Phone:218-287-4501
Practice Address - Fax:701-660-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1267171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty