# SPRINGS INTEGRATED HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194190322
- **Authorized official:** DR. TIFFANY GRAHAM (MANAGER)
- **Authorized official phone:** (719) 761-0221

## Contact information

- **Practice address:** 1465 KELLY JOHNSON BLVD STE 110, COLORADO SPRINGS, CO 80920-3945
- **Practice address phone:** (719) 445-6077
- **Practice address fax:** (719) 323-6242
- **Mailing address:** 1465 KELLY JOHNSON BLVD STE 110, COLORADO SPRINGS, CO 80920-3945
- **Mailing address phone:** (719) 445-6077
- **Mailing address fax:** (719) 323-6242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 09/08/2022