Provider Demographics
NPI:1437636032
Name:WHOLE HEALTH INTEGRATION, LLC
Entity Type:Organization
Organization Name:WHOLE HEALTH INTEGRATION, LLC
Other - Org Name:EMPOWERED INTEGRATIVE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:503-269-0625
Mailing Address - Street 1:14751 N KELSEY ST STE 110
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-1457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14751 N KELSEY ST STE 110
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1457
Practice Address - Country:US
Practice Address - Phone:360-888-8211
Practice Address - Fax:360-507-8075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty