Healthcare Provider Details

I. General information

NPI: 1093636391
Provider Name (Legal Business Name): ND INTEGRATIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 E GERMANN RD STE 24
MESA AZ
85212-5301
US

IV. Provider business mailing address

19135 E SUPERSTITION CT
QUEEN CREEK AZ
85142-5330
US

V. Phone/Fax

Practice location:
  • Phone: 480-992-8020
  • Fax:
Mailing address:
  • Phone: 505-907-9334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NADINE DESORMEAU
Title or Position: OWNER
Credential: L.AC.
Phone: 480-992-8020