Provider Demographics
NPI:1053809608
Name:ACUPUNCTURE ATELIER LLC
Entity type:Organization
Organization Name:ACUPUNCTURE ATELIER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOSROWJERDI
Authorized Official - Suffix:
Authorized Official - Credentials:MS LAC
Authorized Official - Phone:978-761-6676
Mailing Address - Street 1:9 CORNERSTONE SQ # B200
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-1473
Mailing Address - Country:US
Mailing Address - Phone:978-577-5440
Mailing Address - Fax:
Practice Address - Street 1:9 CORNERSTONE SQ
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-1473
Practice Address - Country:US
Practice Address - Phone:978-761-6676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty