Integrative Healing Spa LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

013994-1 Issued in NY

Legal business name

INTEGRATIVE HEALING SPA LLC

Practice address

3 4TH Ave
Oswego, NY 13126-1803

Phone

(315) 343-9900

NPI assigned

Oct 19, 2017

Last updated

Oct 19, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amber Ann Gilbo, LMT

Title

Owner

Phone

(315) 343-9900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1922519743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 4TH AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261803",
            "telephone_number": "315-343-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 4TH AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261803",
            "telephone_number": "315-343-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALING SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "GILBO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-343-9900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "013994-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Michelle Hunt
• Humaira Hussain
• Danilo Ignacio Jr., PT
• Renante F Ignacio, MD
• Mallory Ingalls, MS, OTR/L
• Integrative Mental Health Counseling Services, PLLC (Integrative Counseling Services, PLLC)
• Aric A Iosue, PHARMD
• Megan Rae Irland, P.A.
• Ivan G Proano MD PLLC
• Chase Izyk, DC

• Clinic/Center in Oswego, NY
• Providers in Oswego, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.