Provider Demographics
NPI:1881076875
Name:TRESS RX
Entity type:Organization
Organization Name:TRESS RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NON-SURGICAL HAIR RESTORATION SPECI
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED HAIR LOSS
Authorized Official - Phone:540-845-6924
Mailing Address - Street 1:7595 FORBES RD
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-4270
Mailing Address - Country:US
Mailing Address - Phone:540-845-6924
Mailing Address - Fax:
Practice Address - Street 1:7595 FORBES RD
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4270
Practice Address - Country:US
Practice Address - Phone:540-845-6924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty