Healthcare Provider Details

I. General information

NPI: 1679410815
Provider Name (Legal Business Name): URBAN WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12985 N ORACLE RD STE 165
TUCSON AZ
85739-9551
US

IV. Provider business mailing address

12985 N ORACLE RD STE 165
TUCSON AZ
85739-9551
US

V. Phone/Fax

Practice location:
  • Phone: 520-528-1733
  • Fax:
Mailing address:
  • Phone: 520-528-1733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: TRINKET LEIGH ACEVEDO
Title or Position: OWNER, LMT
Credential: LMT
Phone: 520-528-1733