Healthcare Provider Details

I. General information

NPI: 1427506971
Provider Name (Legal Business Name): INTEGRATIVE HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 16TH ST SUITE 280
DENVER CO
80202-4235
US

IV. Provider business mailing address

5191 S YOSEMITE ST SUITE B
GREENWOOD VILLAGE CO
80111-3360
US

V. Phone/Fax

Practice location:
  • Phone: 720-523-0630
  • Fax:
Mailing address:
  • Phone: 303-577-9977
  • Fax: 303-694-4341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number806
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number5849
License Number StateCO

VIII. Authorized Official

Name: BRIAN BOWEN
Title or Position: OWNER, THERAPIST
Credential: LAC, LMT
Phone: 303-577-9977