Healthcare Provider Details

I. General information

NPI: 1013662394
Provider Name (Legal Business Name): INTEGRATIVE BODY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2022
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 NE 112TH AVE
VANCOUVER WA
98684
US

IV. Provider business mailing address

711 NE 112TH AVE UNIT #35
VANCOUVER WA
98684
US

V. Phone/Fax

Practice location:
  • Phone: 360-402-1076
  • Fax:
Mailing address:
  • Phone: 564-653-1578
  • Fax: 360-583-3453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TOMIKO JOY SALDIA
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: MS, PT
Phone: 564-653-1578