Provider Demographics
NPI:1891680591
Name:INTEGRO HEALTH & WELLNESS
Entity type:Organization
Organization Name:INTEGRO HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIKTORIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:CEPULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-367-6685
Mailing Address - Street 1:60 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2623
Mailing Address - Country:US
Mailing Address - Phone:508-367-6685
Mailing Address - Fax:
Practice Address - Street 1:60 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2623
Practice Address - Country:US
Practice Address - Phone:508-367-6685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty