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Contact Information

INTEGRATIVE WELLNESS AND THERAPEUTICS, PLLC
19901 W CATAWBA AVE STE 104
CORNELIUS, NC28031-4040
 Phone: 704-610-8250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Occupational Therapy Assistant

224Z00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for INTEGRATIVE WELLNESS AND THERAPEUTICS, PLLC

NPI Number 1750042974
LBN Legal business name INTEGRATIVE WELLNESS AND THERAPEUTICS, PLLC
Authorized official SAMANTHA HEIDENREICH - (OWNER, CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2022
Last updated 01/10/2022 - About 4 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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