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NPI Code Detail

MEDICARE: INTEGRATIVE THERAPIES, INC.

MEDICARE: INTEGRATIVE THERAPIES, INC.
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
1133VN1006XMetabolic Nutrition Registered Dietitian

General Provider Information

NPI Number : 1285918292
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATIVE THERAPIES, INC.
Provider Business Mailing Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-294-0910
Fax Number : 336-218-0294
Provider Business Practice Location Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-294-0910
Fax Number : 336-218-0294
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. NANCY KIM COFFIN
Credential :
Telephone Number : 336-294-0910
Provider Enumeration Date : 10/10/2011
Last Update Date : 10/10/2011

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Directions to “INTEGRATIVE THERAPIES, INC. ” Practice Location

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