Provider Demographics
NPI:1366177610
Name:SITTLER INTEGRATIVE PC
Entity type:Organization
Organization Name:SITTLER INTEGRATIVE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SITTLER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-396-0277
Mailing Address - Street 1:7035 W ANN RD STE 160
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3868
Mailing Address - Country:US
Mailing Address - Phone:702-396-0277
Mailing Address - Fax:702-396-3790
Practice Address - Street 1:7035 W ANN RD STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3868
Practice Address - Country:US
Practice Address - Phone:702-396-0277
Practice Address - Fax:702-396-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty