# EAST WIND WELLNESS INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255849915
- **Authorized official:** MR. TIMOTHY DAVID SCHLANK LAC (CEO)
- **Authorized official phone:** (219) 242-9958

## Contact information

- **Practice address:** 9501 INDIANAPOLIS BLVD STE 1A, HIGHLAND, IN 46322-2664
- **Practice address phone:** (219) 595-5529
- **Practice address fax:** (219) 513-9273
- **Mailing address:** 3812 CROSBY DR, VALPARAISO, IN 46383-6223
- **Mailing address phone:** (219) 242-9958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 84000190A | IN | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 01/16/2018