Provider Demographics
NPI:1770113672
Name:HUMMING INTO WELLNESS LLC
Entity type:Organization
Organization Name:HUMMING INTO WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOXALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-778-9848
Mailing Address - Street 1:36 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK VALLEY
Mailing Address - State:CT
Mailing Address - Zip Code:06282-2629
Mailing Address - Country:US
Mailing Address - Phone:860-792-8114
Mailing Address - Fax:860-974-3544
Practice Address - Street 1:1036 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-2143
Practice Address - Country:US
Practice Address - Phone:860-792-8114
Practice Address - Fax:860-974-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-20
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty