Healthcare Provider Details

I. General information

NPI: 1922911882
Provider Name (Legal Business Name): COMPLETE WELLNESS QUAKERTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S 5TH ST STE 185
QUAKERTOWN PA
18951-1677
US

IV. Provider business mailing address

127 S 5TH ST STE 185
QUAKERTOWN PA
18951-1677
US

V. Phone/Fax

Practice location:
  • Phone: 267-509-7717
  • Fax:
Mailing address:
  • Phone: 267-509-7717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: STACY FORD
Title or Position: CO-OWNER
Credential: ATC, LMT
Phone: 267-509-7717