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KT INTEGRATIVE MEDICINE LLC
NPI 1083276992
Clinic/Center in Gilbert, AZ

Active since July 01, 2019
633 E RAY RD STE 131, GILBERT, AZ 85296(480) 571-3060(480) 571-3061 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kt Integrative Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KT INTEGRATIVE MEDICINE LLC (NPI 1083276992), doing business as Ketamine Integrative Medicine, is a healthcare organization registered as a clinic/center in Gilbert, Arizona and active in the NPI registry since July 2019. The organization lists Annette Altamirano Lusko, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083276992
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKT INTEGRATIVE MEDICINE LLC
Location Address633 E RAY RD STE 131Gilbert, AZ 85296-4206
Mailing Address2824 N Power Rd # 113-471Mesa, AZ 85215-1672 · (480) 571-3060 · Fax (480) 571-3061
Phone(480) 571-3060
Fax(480) 571-3061
Organization SubpartNo
Authorized OfficialAnnette Altamirano LuskoMedical Director · (480) 571-3060
Enumeration DateJuly 1, 2019
✔ NPI 1083276992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
633 E RAY RD STE 131, Gilbert, AZ 85296
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Other Names 1

Doing Business AsKetamine Integrative Medicine

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRIPLE B THERAPY
Social Worker (Clinical)
633 E RAY RD STE 131
GILBERT, AZ 85296
Maricopa County (602) 345-1515
REBECCA M BAGWELL
Social Worker (Clinical)
633 E RAY RD STE 131
GILBERT, AZ 85296
Maricopa County (602) 345-1515
KIMBERLY LEA LEVERSEE LMSW
Counselor (Mental Health)
633 E RAY RD STE 131
GILBERT, AZ 85296
Maricopa County (602) 345-1803
MICHAEL BOHMONT KEENAN M.S. MFT
Marriage & Family Therapist
633 E RAY RD STE 131
GILBERT, AZ 85296
Maricopa County (480) 256-2999
NICHOLAS T. PUCHALSKI LMFT
Marriage & Family Therapist
633 E RAY RD STE 131
GILBERT, AZ 85296
Maricopa County (480) 256-2829

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kt Integrative Medicine LLC's NPI number?

The NPI number for Kt Integrative Medicine LLC is 1083276992. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as Ketamine Integrative Medicine.

Where is Kt Integrative Medicine LLC located?

Kt Integrative Medicine LLC is located at 633 E Ray Rd Ste 131, Gilbert, AZ 85296. The listed phone number is (480) 571-3060.

What is Kt Integrative Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kt Integrative Medicine LLC was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.