Provider Demographics
NPI:1841897881
Name:ACU-4-LIFE ACUPUNCTURE LLC
Entity type:Organization
Organization Name:ACU-4-LIFE ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:978-877-6794
Mailing Address - Street 1:78 MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1561
Mailing Address - Country:US
Mailing Address - Phone:978-877-6794
Mailing Address - Fax:978-650-1020
Practice Address - Street 1:78 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1561
Practice Address - Country:US
Practice Address - Phone:978-877-6794
Practice Address - Fax:978-650-1020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty