Healthcare Provider Details
I. General information
NPI: 1740961515
Provider Name (Legal Business Name): HAPPY HIPPO WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
676 AARON CT BLDG 6
KINGSTON NY
12401-2968
US
IV. Provider business mailing address
712 LUCAS AVENUE EXT
HURLEY NY
12443-6225
US
V. Phone/Fax
- Phone: 914-388-6981
- Fax:
- Phone: 914-388-6981
- Fax: 914-388-6981
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KARI
E
HOYT
Title or Position: PRACTITIONER/CEO
Credential: DAC
Phone: 914-388-6981