Provider Demographics
NPI:1063045540
Name:INTEGRITEE HEALTH & PERFORMANCE LLC
Entity Type:Organization
Organization Name:INTEGRITEE HEALTH & PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:NEGRETE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:319-461-2031
Mailing Address - Street 1:4811 NE BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-6822
Mailing Address - Country:US
Mailing Address - Phone:319-461-2031
Mailing Address - Fax:
Practice Address - Street 1:1802 N ANKENY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-1802
Practice Address - Country:US
Practice Address - Phone:515-446-8389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy