Provider Demographics
NPI:1225659329
Name:INTEGRATIVE HEALTH MANAGEMENT
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTH MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRYWIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:440-438-3138
Mailing Address - Street 1:33269 WESTBROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-3151
Mailing Address - Country:US
Mailing Address - Phone:440-376-8523
Mailing Address - Fax:
Practice Address - Street 1:28873 LORAIN RD
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-4043
Practice Address - Country:US
Practice Address - Phone:440-438-3138
Practice Address - Fax:440-438-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Single Specialty