Provider Demographics
NPI:1558173930
Name:DREAM ACUPUNCTURE LLC
Entity type:Organization
Organization Name:DREAM ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:SHA
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:314-370-3785
Mailing Address - Street 1:61 VILLA COUBLAY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2730
Mailing Address - Country:US
Mailing Address - Phone:314-370-3785
Mailing Address - Fax:
Practice Address - Street 1:8480 EAGER RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MO
Practice Address - Zip Code:63144-1413
Practice Address - Country:US
Practice Address - Phone:031-427-4870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173C00000XOther Service ProvidersReflexologistGroup - Single Specialty