MEDICARE: INDEPENDENT ERGONOMIST D.B.A IHEALTH 360, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1003766403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT ERGONOMIST D.B.A IHEALTH 360, LLC

Provider Business Mailing Address
First Line	:	715 GALLOPING BEND CT
Second Line	:
City	:	AUBURN
State	:	GA
Zip	:	30011-4668
Country	:	US
Telephone Number	:	650-888-8140
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 GALLOPING BEND CT
Second Line	:
City	:	AUBURN
State	:	GA
Zip	:	30011-4668
Country	:	US
Telephone Number	:	650-888-8140
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	LANIESHA LITTLETON
Credential	:	OT
Telephone Number	:	650-888-8140

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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