Provider Demographics
NPI:1215790670
Name:HEALING HANDS THERESA
Entity type:Organization
Organization Name:HEALING HANDS THERESA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-872-8552
Mailing Address - Street 1:50508 BEECHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-5188
Mailing Address - Country:US
Mailing Address - Phone:248-872-8552
Mailing Address - Fax:
Practice Address - Street 1:50508 BEECHWOOD CT
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-5188
Practice Address - Country:US
Practice Address - Phone:248-872-8552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty