Provider Demographics
NPI:1447759691
Name:YINTUITION WELLNESS, PLLC
Entity type:Organization
Organization Name:YINTUITION WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDER BAAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:401-465-1305
Mailing Address - Street 1:551 BOYLSTON ST.
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116
Mailing Address - Country:US
Mailing Address - Phone:617-356-7584
Mailing Address - Fax:
Practice Address - Street 1:551 BOYLSTON ST.
Practice Address - Street 2:SUITE 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116
Practice Address - Country:US
Practice Address - Phone:617-356-7584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA264748171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty