Healthcare Provider Details

I. General information

NPI: 1750855177
Provider Name (Legal Business Name): HAPPY SUNFLOWER ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2056 PORTAGE RD STE 6
WOOSTER OH
44691-1900
US

IV. Provider business mailing address

2650 WINCHESTER WOODS APT I
WOOSTER OH
44691-5333
US

V. Phone/Fax

Practice location:
  • Phone: 330-234-1226
  • Fax:
Mailing address:
  • Phone: 330-234-1226
  • 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: THERESE K BYRNE
Title or Position: OWNER
Credential: LAC., LMT
Phone: 330-234-1226