Provider Demographics
NPI:1013662394
Name:INTEGRATIVE BODY, INC.
Entity Type:Organization
Organization Name:INTEGRATIVE BODY, INC.
Other - Org Name:INTEGRATIVE BODY STRATEGIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMIKO
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:SALDIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:360-402-1076
Mailing Address - Street 1:11900 NE 18TH ST APT AU155
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-4732
Mailing Address - Country:US
Mailing Address - Phone:360-402-1076
Mailing Address - Fax:
Practice Address - Street 1:1900 NORTHEAST 18TH ST.
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684
Practice Address - Country:US
Practice Address - Phone:360-402-1076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1508841586OtherINIDIVIDUAL NPI
WA1013662394OtherGROUP NPI