Healthcare Provider Details

I. General information

NPI: 1053485631
Provider Name (Legal Business Name): INTEGRATIVE HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 W MAIN ST
TIPP CITY OH
45371-1820
US

IV. Provider business mailing address

423 W MAIN ST
TIPP CITY OH
45371-1820
US

V. Phone/Fax

Practice location:
  • Phone: 937-667-2222
  • Fax: 937-667-5321
Mailing address:
  • Phone: 937-667-2222
  • Fax: 937-335-7613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3406
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35044154
License Number StateOH

VIII. Authorized Official

Name: MRS. KELLY LYNN BORCHERS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 937-667-2222