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NPI Code Detail

MEDICARE: HOLISTIC HEALTH GURUS

MEDICARE: HOLISTIC HEALTH GURUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist
2171100000XAcupuncturist

General Provider Information

NPI Number : 1508289232
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLISTIC HEALTH GURUS
Provider Business Mailing Address
First Line : 3026 N PARK WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-3626
Country : US
Telephone Number : 619-333-8733
Fax Number :
Provider Business Practice Location Address
First Line : 3026 N PARK WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-3626
Country : US
Telephone Number : 619-333-8733
Fax Number :
Authorized Official
Title or Position : OWNER/HOLISTIC HEALTH PRACTITIONER
Name : MS. KELLIE PATZER
Credential : CMT
Telephone Number : 619-665-3466
Provider Enumeration Date : 01/31/2014
Last Update Date : 01/31/2014

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Directions to “HOLISTIC HEALTH GURUS ” Practice Location

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