Healthcare Provider Details

I. General information

NPI: 1245853167
Provider Name (Legal Business Name): INTEGRATIVE HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 01/03/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W PALMETTO ST
FLORENCE SC
29501-4427
US

IV. Provider business mailing address

505 W PALMETTO ST
FLORENCE SC
29501-4427
US

V. Phone/Fax

Practice location:
  • Phone: 843-799-0001
  • Fax: 843-799-0029
Mailing address:
  • Phone: 843-799-0001
  • Fax: 843-799-0029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN HIESHETTER
Title or Position: CO-OWNER
Credential: DC
Phone: 414-758-1784