Healthcare Provider Details

I. General information

NPI: 1538042437
Provider Name (Legal Business Name): INTEGRATED HEALTH SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5108 PLANER DR
MILAN TN
38358-1526
US

IV. Provider business mailing address

5108 PLANER DR
MILAN TN
38358-1526
US

V. Phone/Fax

Practice location:
  • Phone: 731-487-4770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BLAINE POTTS
Title or Position: MANAGING MEMBER
Credential: PT, DPT
Phone: 731-487-4770