Provider Demographics
NPI:1194586362
Name:ZIA THERAPY AND PAIN RELIEF INC
Entity type:Organization
Organization Name:ZIA THERAPY AND PAIN RELIEF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:978-618-7500
Mailing Address - Street 1:1520 DEBORAH RD SE STE K
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1030
Mailing Address - Country:US
Mailing Address - Phone:978-618-7500
Mailing Address - Fax:
Practice Address - Street 1:1520 DEBORAH RD SE STE K
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1030
Practice Address - Country:US
Practice Address - Phone:978-618-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty