Provider Demographics
NPI:1487295473
Name:FLOW ACUPUNCTURE & WELLNESS
Entity type:Organization
Organization Name:FLOW ACUPUNCTURE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SISSOM
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:360-389-2599
Mailing Address - Street 1:1116 KEY ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5251
Mailing Address - Country:US
Mailing Address - Phone:360-389-2599
Mailing Address - Fax:
Practice Address - Street 1:1116 KEY ST STE 102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5251
Practice Address - Country:US
Practice Address - Phone:360-389-2599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty