Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1144802794 |
| LBN Legal business name | ALTERNATIVE WELLNESS THERAPIES PLLC |
| Authorized official | MARISSA EBERT - (CO-OWNER/THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/23/2021 |
| Last updated | 12/06/2023 - About 2 years ago |
| Identifiers | n/a |
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