Healthcare Provider Details

I. General information

NPI: 1427239326
Provider Name (Legal Business Name): TRUE HEALTH CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330 MANHATTAN CIR SUITE F
BOULDER CO
80303-4240
US

IV. Provider business mailing address

5330 MANHATTAN CIR SUITE F
BOULDER CO
80303-4240
US

V. Phone/Fax

Practice location:
  • Phone: 303-499-0152
  • Fax:
Mailing address:
  • Phone: 303-499-0152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1286
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHRISTINA SHAO
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 303-499-0152