Phoenix Rising Wellness Center
LBN: Phoenix Rising Wellness Center
Phoenix Rising Wellness Center is an health care organization with primary practice located at 11008 Gravelly Lake Dr Sw , Lakewood WA 98499-1332. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty.
Phoenix Rising Wellness Center can be contacted via phone (253) 220-0711, or through Cordis, Shamika via phone (360) 728-0315.
Contact Information
Primary practice address
11008 Gravelly Lake Dr Sw
Lakewood WA 98499-1332
Phone: (253) 220-0711
Fax: (888) 317-8716
Website:
Authorized official contact:
Name: Cordis, Shamika Doctor of Chiropractic (DC)
Phone: (360) 728-0315
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1639775174 |
|---|---|
| LBN Legal business name | Phoenix Rising Wellness Center |
| DBA Doing business as | |
| Authorized official | Cordis, Shamika Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 9th, 2020 |
| Last updated | Dec 9th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639775174 | NPPES |
| Other | CH605050789 | CHIROPRACTIC |
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