Integrated Wellness Club
Organization Active NPI Health Educator · Lake Havasu City, AZ
NPI 1811396757 · NPPES record last updated Aug 16, 2014
Key facts
- NPI
- 1811396757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Educator 174H00000X
- Legal business name
- INTEGRATED WELLNESS CLUB
- Practice address
- 1968 Mesquite Ave
Lake Havasu City, AZ 86403-5729 - Phone
- (480) 703-4227
- NPI assigned
- Aug 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Rustom Ali, PHD
- Title
- Member, LLC
- Phone
- (480) 703-4227
Practitioners 1
-
Rustom Ali, PHD
National Provider Directory
Locations
1968 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (480) 703-4227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator |
174H00000X | Yes |
Addresses
Primary practice location
1968 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Mailing address
1968 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Phone (480) 703-4227
Other providers in Lake Havasu City, AZ
- Innovative Primary Care Clinic of Havasu PLLC
- Innovative Primary Care of Havasu LLC
- Innovative Primary Care of Lake Havasu LLC
- Innovative Womens Health Care of Havasu PLLC
- Institute for Male Health&Performance LLC
- Integrative Oncology Strategies,LLC
- Intraoperative Neurological Monitoring Diagnostics, LLC
- Valerie Pratt Israel
- Daniel Itano
- Kartik Iyer
All providers in Lake Havasu City, AZ · Health Educator in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.