Provider Demographics
NPI:1154863017
Name:UTECH INTEGRATIVE HEALTH, P.C.
Entity Type:Organization
Organization Name:UTECH INTEGRATIVE HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:UTECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-990-7306
Mailing Address - Street 1:629 WEST ST S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-8103
Mailing Address - Country:US
Mailing Address - Phone:641-236-8000
Mailing Address - Fax:
Practice Address - Street 1:629 WEST ST S
Practice Address - Street 2:SUITE 300
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-8103
Practice Address - Country:US
Practice Address - Phone:641-236-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty