# INNOVATIVE PAIN SOLUTIONS PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Pain Solutions Professional Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306581905
- **Authorized official:** THOMAS FISH DC (CEO)
- **Authorized official phone:** (480) 319-0755

## Contact information

- **Practice address:** 333 N DOBSON RD STE 5, CHANDLER, AZ 85224-4412
- **Practice address phone:** (480) 319-0755
- **Mailing address:** 2350 E SPRUCE DR, CHANDLER, AZ 85286-1565
- **Mailing address phone:** (661) 755-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 163WP0000X | Pain Management Registered Nurse | — | NULL | — |
| 163WP0000X | Pain Management Registered Nurse | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 202D00000X | Integrative Medicine Physician | — | NULL | — |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/28/2022
- **Last updated:** 05/12/2022