Provider Demographics
NPI:1871952606
Name:FAMILY TREE ACUPUNCTURE & WELLNESS, LLC
Entity type:Organization
Organization Name:FAMILY TREE ACUPUNCTURE & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:GLASIER
Authorized Official - Last Name:LUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-507-1705
Mailing Address - Street 1:7955 E ARAPAHOE CT
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1358
Mailing Address - Country:US
Mailing Address - Phone:720-507-1705
Mailing Address - Fax:
Practice Address - Street 1:7955 E ARAPAHOE CT
Practice Address - Street 2:SUITE 1050
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1358
Practice Address - Country:US
Practice Address - Phone:720-507-1705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002107171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty