Provider Demographics
NPI:1912109430
Name:NATURAL RESONANCE CLINIC
Entity type:Organization
Organization Name:NATURAL RESONANCE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLMSTED
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:928-284-0906
Mailing Address - Street 1:51 BELL ROCK PLZ # A-195
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-9062
Mailing Address - Country:US
Mailing Address - Phone:928-284-0906
Mailing Address - Fax:
Practice Address - Street 1:6560 HIGHWAY 179 STE 110
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-6922
Practice Address - Country:US
Practice Address - Phone:928-284-0906
Practice Address - Fax:928-284-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ00-566175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty