| NPI | 1306581905 |
|---|---|
| Former Legal Business Name | INNOVATIVE PAIN SOLUTIONS PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | THOMAS FISH CEO 480-319-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 163WP0000X Registered Nurse, Pain Management | |
| 163WW0000X Registered Nurse, Wound Care | |
| 202D00000X Integrative Medicine | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-05-12 |