# INTEGRATIVE MANUAL PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1669837837
- **Authorized official:** LYNNE GIST (DIRECTOR/PROVIDER)
- **Authorized official phone:** (301) 565-4925

## Contact information

- **Practice address:** 8505 FENTON ST, SUITE 202, SILVER SPRING, MD 20910-4497
- **Practice address phone:** (301) 565-4925
- **Mailing address:** 8631 INDIAN SPRINGS RD, LAUREL, MD 20724-1949
- **Mailing address phone:** (240) 603-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 12/15/2015