Provider Demographics
NPI:1982883880
Name:INTEGRITY HEALTH & WELLNESS INC
Entity Type:Organization
Organization Name:INTEGRITY HEALTH & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:702-493-8028
Mailing Address - Street 1:7660 W CHEYENNE AVE
Mailing Address - Street 2:114
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6760
Mailing Address - Country:US
Mailing Address - Phone:702-493-8028
Mailing Address - Fax:
Practice Address - Street 1:2408 LEGACY ISLAND CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6155
Practice Address - Country:US
Practice Address - Phone:702-493-8028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVQ07000315078435225100000X
NV0134225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty