Healthcare Provider Details

I. General information

NPI: 1841982766
Provider Name (Legal Business Name): INTEGRATIVE PAIN RELIEF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 N MAIN ST STE E
HILTON HEAD SC
29926-1685
US

IV. Provider business mailing address

10 HERMIT THRUSH
HILTON HEAD ISLAND SC
29926-1825
US

V. Phone/Fax

Practice location:
  • Phone: 843-422-2592
  • Fax: 843-408-4584
Mailing address:
  • Phone: 843-422-2592
  • Fax: 843-408-4584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH SCHOON
Title or Position: OWNER, ACUPUNCTURIST
Credential: D.AC, L.AC
Phone: 843-422-2592