# BLUE HERON VITALITY LLC

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

## Provider details

- **NPI number:** 1295622280
- **Authorized official:** RACHEL BURACK LAC (OWNER/LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (603) 455-7146

## Contact information

- **Practice address:** 333 FAIRVIEW AVE, WESTWOOD, NJ 07675-1704
- **Practice address phone:** (603) 455-7146
- **Mailing address:** 369 KINDERKAMACK RD, WESTWOOD, NJ 07675-1652
- **Mailing address phone:** (603) 455-7146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2025
- **Last updated:** 08/15/2025