Healthcare Provider Details

I. General information

NPI: 1740313410
Provider Name (Legal Business Name): INTEGRATED HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 BIEHN ST
KLAMATH FALLS OR
97601-1761
US

IV. Provider business mailing address

2345 BIEHN ST
KLAMATH FALLS OR
97601-1761
US

V. Phone/Fax

Practice location:
  • Phone: 541-882-4612
  • Fax: 541-273-2908
Mailing address:
  • Phone: 541-882-4612
  • Fax: 541-273-2908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: CARLA MUELLER
Title or Position: PRESIDENT
Credential:
Phone: 541-882-4612