Organization
INTEGRATION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI MEDELL DPT (OWNER)
(505) 780-8783
Entity
Organization
Contact information
Practice address
TREASURY CENTER 10, CRESTED BUTTE WAY STE L2, MT. CRESTED BUTTE, CO 81225-0154
(970) 251-5462
(970) 251-5463
Mailing address
1012 MARQUEZ PL, SUITE 101B, SANTA FE, NM 87505-1834
(505) 780-8783
(505) 780-8794
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2509
NM
Other
Enumeration date
07/08/2015
Last updated
02/25/2021
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