Provider Demographics
NPI:1659126100
Name:RENO INTEGRATIVE HEALTH & WELLNESS
Entity Type:Organization
Organization Name:RENO INTEGRATIVE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSWORTHY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:775-829-1009
Mailing Address - Street 1:343 ELM ST STE 401
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4541
Mailing Address - Country:US
Mailing Address - Phone:775-829-1009
Mailing Address - Fax:775-829-9330
Practice Address - Street 1:343 ELM ST STE 401
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4541
Practice Address - Country:US
Practice Address - Phone:775-829-1009
Practice Address - Fax:775-829-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care