Provider Demographics
NPI:1457944639
Name:TREATING THE ROOT ACUPUNCTURE AND MASSAGE THERAPY, PLLC
Entity Type:Organization
Organization Name:TREATING THE ROOT ACUPUNCTURE AND MASSAGE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/L. AC./ LMT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CHIAPPONE
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:315-405-4050
Mailing Address - Street 1:1511 WASHINGTON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-9314
Mailing Address - Country:US
Mailing Address - Phone:315-405-4050
Mailing Address - Fax:315-221-9582
Practice Address - Street 1:1511 WASHINGTON ST STE 2
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-9314
Practice Address - Country:US
Practice Address - Phone:315-405-4050
Practice Address - Fax:315-221-9582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty