INTEGRATIVE THERAPEUTICS LLC


Address: 11074 Woods Bay Ln, Indianapolis, IN 46236-9020
Phone: 3177034772

INTEGRATIVE THERAPEUTICS LLC (NPI# 1861757023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861757023
Entity Type Organization
Organization Name INTEGRATIVE THERAPEUTICS LLC
Practice Address 11074 Woods Bay Ln
Indianapolis
IN 46236-9020
Practice Telephone 3177034772
Mailing Telephone 3177034772
Enumeration Date 2012-07-12
Last Update Date 2012-07-12
Authorized Official Name MRS. JENILE J ABELL (PRESIDENT)
Authorized Official Telephone 3178260096
Authorized Official Credential F.N. P.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
71002899B IN Ambulatory Health Care Facilities
Y 261QP3300X Clinic/Center
Specialization: Pain
71002899B IN Ambulatory Health Care Facilities

Office Location

Street Address 11074 WOODS BAY LN
City INDIANAPOLIS
State IN
Zip Code 46236-9020

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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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