Healthcare Provider Details
I. General information
NPI: 1750462784
Provider Name (Legal Business Name): THE HEALING POINT TRADITIONAL ACUPUNCTURE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2006
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1158 THOMAS AVE
SAINT PAUL MN
55104-2165
US
IV. Provider business mailing address
1158 THOMAS AVE
SAINT PAUL MN
55104-2165
US
V. Phone/Fax
- Phone: 651-647-1277
- Fax: 651-999-0114
- Phone: 651-647-1277
- Fax: 651-999-0114
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | 1005 |
| License Number State | MN |
VIII. Authorized Official
Name: MS.
EMILY
A.
SILKWOOD
Title or Position: OWNER
Credential: L.AC.
Phone: 651-647-1277