BLUE HERON VITALITY LLC; NPI #1295622280

Contact Information

BLUE HERON VITALITY LLC

333 FAIRVIEW AVE
WESTWOOD, NJ 07675-1704

Phone: 603-455-7146
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Acupuncturist	171100000X

Indicates primary specialty

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NPI Profile & details for BLUE HERON VITALITY LLC

NPI Number	`1295622280`
LBN Legal business name	BLUE HERON VITALITY LLC
Authorized official	RACHEL BURACK - (OWNER/LICENSED ACUPUNCTURIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/21/2025
Last updated	08/15/2025 - About 10 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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