Provider Demographics
NPI:1740692755
Name:SMOOTH QI, LLC
Entity type:Organization
Organization Name:SMOOTH QI, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-440-8250
Mailing Address - Street 1:6739 ACADEMY RD NE
Mailing Address - Street 2:SUITE 254
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3351
Mailing Address - Country:US
Mailing Address - Phone:505-440-8250
Mailing Address - Fax:801-655-7382
Practice Address - Street 1:6739 ACADEMY RD NE
Practice Address - Street 2:SUITE 254
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3351
Practice Address - Country:US
Practice Address - Phone:505-440-8250
Practice Address - Fax:801-655-7382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-24
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1096171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty