Provider Demographics
NPI:1396119954
Name:TURQUOISE TRAIL ACUPUNCTURE AND WELLNESS LLC
Entity type:Organization
Organization Name:TURQUOISE TRAIL ACUPUNCTURE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:LENITA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ARRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-286-7827
Mailing Address - Street 1:PO BOX 2500
Mailing Address - Street 2:
Mailing Address - City:TIJERAS
Mailing Address - State:NM
Mailing Address - Zip Code:87059-2500
Mailing Address - Country:US
Mailing Address - Phone:505-286-7827
Mailing Address - Fax:
Practice Address - Street 1:11792 NM 337 #2500
Practice Address - Street 2:
Practice Address - City:TIJERAS
Practice Address - State:NM
Practice Address - Zip Code:87059
Practice Address - Country:US
Practice Address - Phone:505-286-7827
Practice Address - Fax:505-405-3658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1177171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty