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Organization

INTEGRATIVE HEALING ENTERPRISES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CATHERINE JEANNE KILLIGREW PT (PRESIDENT)
(317) 566-1923
Entity
Organization

Contact information

Practice address
1020 E 86TH ST, SUITE 22 D, INDIANAPOLIS, IN 46240-1867
(317) 566-1923
(317) 566-1923
Mailing address
1020 E 86TH ST, SUITE 22 D, INDIANAPOLIS, IN 46240-1867
(317) 566-1923

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000900A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000337313
ANTHEM
IN
01
000009378869
PRIVATE HEALTHCARE SYSTEM
IN
01
34081
INDIANA HEALTH NETWORK
IN
Enumeration date
07/02/2006
Last updated
08/22/2020
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