Healthcare Provider Details

I. General information

NPI: 1891615720
Provider Name (Legal Business Name): TAO VITAL QI THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 E MAIN ST
MOORESTOWN NJ
08057-3378
US

IV. Provider business mailing address

57 E MAIN ST
MOORESTOWN NJ
08057-3378
US

V. Phone/Fax

Practice location:
  • Phone: 856-581-0335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: THU NGUYEN
Title or Position: OWNER
Credential:
Phone: 856-213-3451