Provider Demographics
NPI:1639621527
Name:INTEGRATIVE APPROACHES TO WELLNESS
Entity Type:Organization
Organization Name:INTEGRATIVE APPROACHES TO WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:WALDROP
Authorized Official - Last Name:GRELLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-759-1729
Mailing Address - Street 1:1800 MCFARLAND BLVD N STE 150
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2178
Mailing Address - Country:US
Mailing Address - Phone:205-759-1729
Mailing Address - Fax:205-462-7618
Practice Address - Street 1:1800 MCFARLAND BLVD N STE 150
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2178
Practice Address - Country:US
Practice Address - Phone:205-759-1729
Practice Address - Fax:205-462-7618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service