Provider Demographics
NPI:1376346684
Name:FREE TO FLY ACUPUNCTURE & HOLISTIC WELLNESS
Entity type:Organization
Organization Name:FREE TO FLY ACUPUNCTURE & HOLISTIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:860-977-2909
Mailing Address - Street 1:75 IVY LN
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-3134
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 IVY LN
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-3134
Practice Address - Country:US
Practice Address - Phone:860-977-2909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty