Healing Grounds Center Corp

NPI #1972256162 in Salem, Wisconsin

Provider Information

NPI Number: 1972256162
Entity Type: Organization
Organization Name: Healing Grounds Center Corp
Primary Specialty: Clinic/Center
Enumeration Date: Jan 28, 2022
Last Updated: Jan 28, 2022

Practice Location

Address: 7510 288TH AVE STE 1
City: Salem
State: Wisconsin
ZIP Code: 53168-9550
Phone: (262) 586-0199

Authorized Official

Name: SAMANTHA KORALESKY, L.AC
Title: OWNER / ACUPUNCTURIST
Phone: (262) 586-0199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Clinic/Center	261Q00000X	Primary

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