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General NPI Number Information
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NPI Number | 1205865276
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALING ENTERPRISES, INC.
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 E 86TH ST SUITE 22 D
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1867
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Country | US
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Telephone | 317-566-1923
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Fax | 317-566-1923
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Provider Business Mailing Address
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Address Line | 1020 E 86TH ST SUITE 22 D
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1867
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Country | US
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Telephone | 317-566-1923
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CATHERINE JEANNE KILLIGREW
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Credential | PT
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Telephone | 317-566-1923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05000900A
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License Number State | IN
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