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NPI Code Detail

MEDICARE: INTEGRATIVE HEALTH AND SPORTS PERFORMANCE, LLC

MEDICARE: INTEGRATIVE HEALTH AND SPORTS PERFORMANCE, LLC
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
1111N00000XChiropractor4198OH

General Provider Information

NPI Number : 1225311772
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATIVE HEALTH AND SPORTS PERFORMANCE, LLC
Provider Business Mailing Address
First Line : 4299 SUGARCREEK DR
Second Line :
City : BELLBROOK
State : OH
Zip : 45305-1330
Country : US
Telephone Number : 937-848-8500
Fax Number : 937-848-9500
Provider Business Practice Location Address
First Line : 4299 SUGARCREEK DR
Second Line :
City : BELLBROOK
State : OH
Zip : 45305-1330
Country : US
Telephone Number : 937-848-8500
Fax Number : 937-848-9500
Authorized Official
Title or Position : OWNER
Name : DR. NICHOLAS CURRY
Credential : DC
Telephone Number : 937-848-8500
Provider Enumeration Date : 09/21/2011
Last Update Date : 08/25/2020

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Directions to “INTEGRATIVE HEALTH AND SPORTS PERFORMANCE, LLC ” Practice Location

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