NPI Code Details Logo

NPI 1962371872

NPI 1962371872 : INTEGRATIVE HEALTH PARTNERS LLC : HENDERSON, NV

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1962371872
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    INTEGRATIVE HEALTH PARTNERS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/30/2025
-----------------------------------------------------
    Last Update Date     |    12/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    171 N GIBSON RD STE 140 
-----------------------------------------------------
    City                 |    HENDERSON
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89014-6787
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    833-759-8720
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5420 W SAHARA AVE STE 201 
-----------------------------------------------------
    City                 |    LAS VEGAS
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89146-0389
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    888-683-2584
-----------------------------------------------------
    Fax                  |    888-683-2567
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     KANDYACE  MORRIS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    888-683-2584
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225200000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    224Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapy Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.