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Contact Information

INTEGRATIVE WELLNESS AZ, LLC
11887 N 91ST PL
SCOTTSDALE, AZ85260
 Phone: 480-486-5821
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for INTEGRATIVE WELLNESS AZ, LLC

NPI # 1184272254
LBN Legal business name INTEGRATIVE WELLNESS AZ, LLC
Authorized official JESSICA HONTIVEROS - (OWNER/PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2019
Last updated 08/30/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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