Tri-State Healing Initiative LLC

NPI #1841984036 in Russell, Kentucky

Provider Information

NPI Number: 1841984036
Entity Type: Organization
Organization Name: Tri-State Healing Initiative LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 8, 2023
Last Updated: Jun 17, 2025

Practice Location

Address: 1619 DIEDERICH BLVD STE D1
City: Russell
State: Kentucky
ZIP Code: 41169-1778
Phone: (952) 261-7105

Authorized Official

Name: BRYCE RATLIFF, MD
Title: OWNER
Phone: (952) 261-7105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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