MEDICARE: SITTLER INTEGRATIVE PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	208100000X	Physical Medicine & Rehabilitation Physician
3	363L00000X	Nurse Practitioner
4	202D00000X	Integrative Medicine Physician

General Provider Information

NPI Number	:	1366177610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SITTLER INTEGRATIVE PC

Provider Business Mailing Address
First Line	:	7035 W ANN RD STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3868
Country	:	US
Telephone Number	:	702-396-0277
Fax Number	:	702-396-3790

Provider Business Practice Location Address
First Line	:	7035 W ANN RD STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3868
Country	:	US
Telephone Number	:	702-396-0277
Fax Number	:	702-396-3790

Authorized Official
Title or Position	:	APRN
Name	:	RYAN SITTLER
Credential	:	APRN
Telephone Number	:	702-396-0277

Provider Enumeration Date	:	07/20/2022
Last Update Date	:	07/20/2022

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Directions to “SITTLER INTEGRATIVE PC ” Practice Location

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