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NPI Code Detail

MEDICARE: SPRINGS INTEGRATED HEALTH PC

MEDICARE: SPRINGS INTEGRATED HEALTH PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor
2208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1194190322
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGS INTEGRATED HEALTH PC
Provider Business Mailing Address
First Line : 1465 KELLY JOHNSON BLVD STE 110
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3945
Country : US
Telephone Number : 719-445-6077
Fax Number : 719-323-6242
Provider Business Practice Location Address
First Line : 1465 KELLY JOHNSON BLVD STE 110
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3945
Country : US
Telephone Number : 719-445-6077
Fax Number : 719-323-6242
Authorized Official
Title or Position : MANAGER
Name : DR. TIFFANY GRAHAM
Credential :
Telephone Number : 719-761-0221
Provider Enumeration Date : 12/14/2015
Last Update Date : 09/08/2022

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Directions to “SPRINGS INTEGRATED HEALTH PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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