Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Life MD

Organization General Practice Physician · NPI 1700708922

Integrative Life MD is a General Practice Physician in Fort Collins, Colorado. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

315 Canyon Ave Ste 2A
Fort Collins, CO 80521-2686
Phone: (970) 598-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1700708922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Moore — Physician · (512) 296-0319
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address814 W Mountain Ave, Fort Collins, CO 80521-2508

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