Provider Demographics
NPI:1720873052
Name:HOLISTIC HEALTH ON THE GO
Entity type:Organization
Organization Name:HOLISTIC HEALTH ON THE GO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:TETREAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-353-1397
Mailing Address - Street 1:2706 N POWNAL RD
Mailing Address - Street 2:
Mailing Address - City:POWNAL
Mailing Address - State:VT
Mailing Address - Zip Code:05261-9625
Mailing Address - Country:US
Mailing Address - Phone:772-353-1397
Mailing Address - Fax:772-353-1397
Practice Address - Street 1:63 SPRING ST STE 201F
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-8200
Practice Address - Country:US
Practice Address - Phone:772-353-1397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty