Provider Demographics
NPI:1396473724
Name:ANCIENT SKY INTEGRATIVE HEALTH
Entity type:Organization
Organization Name:ANCIENT SKY INTEGRATIVE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLPE
Authorized Official - Suffix:
Authorized Official - Credentials:MAOM, LIC AC
Authorized Official - Phone:617-308-3907
Mailing Address - Street 1:20 CURLEY DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2744
Mailing Address - Country:US
Mailing Address - Phone:617-308-3907
Mailing Address - Fax:
Practice Address - Street 1:277 MAIN ST STE 208
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-5521
Practice Address - Country:US
Practice Address - Phone:617-308-3907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty