Provider Demographics
NPI:1104312610
Name:INNERSPRING ACUPUNCTURE & WELLBEING INC.
Entity type:Organization
Organization Name:INNERSPRING ACUPUNCTURE & WELLBEING INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:LDN LICAC DACM
Authorized Official - Phone:978-461-2001
Mailing Address - Street 1:132 GREAT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:MA
Mailing Address - Zip Code:01775-1189
Mailing Address - Country:US
Mailing Address - Phone:978-461-2001
Mailing Address - Fax:866-709-1684
Practice Address - Street 1:132 GREAT RD STE 201
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775-1189
Practice Address - Country:US
Practice Address - Phone:978-461-2001
Practice Address - Fax:866-709-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
MA230194171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty