Provider Demographics
NPI:1144657016
Name:FOREVER ABLE ACUPUNCTURE AND WELLNESS CENTER
Entity type:Organization
Organization Name:FOREVER ABLE ACUPUNCTURE AND WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMEY
Authorized Official - Middle Name:
Authorized Official - Last Name:AUBRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-834-6650
Mailing Address - Street 1:9100 N EAGLESTONE LOOP
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9426
Mailing Address - Country:US
Mailing Address - Phone:520-834-6650
Mailing Address - Fax:
Practice Address - Street 1:9100 N EAGLESTONE LOOP
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-9426
Practice Address - Country:US
Practice Address - Phone:520-834-6650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0790171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty