Puyallup Wellness Pllc
LBN: Puyallup Wellness Pllc
Puyallup Wellness Pllc is an health care organization with primary practice located at 2802 S Meridian , Puyallup WA 98373-1402. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty.
Puyallup Wellness Pllc can be contacted via phone (253) 445-5032, or through Mundt, Bradley via phone (253) 473-3733.
Contact Information
Primary practice address
2802 S Meridian
Puyallup WA 98373-1402
Phone: (253) 445-5032
Fax: (253) 845-0129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Other Service Providers / Acupuncturist | 171100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1639714850 |
|---|---|
| LBN Legal business name | Puyallup Wellness Pllc |
| DBA Doing business as | |
| Authorized official | Mundt, Bradley Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2019 |
| Last updated | Nov 12th, 2019 - 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 | 1639714850 | NPPES |
| Washington | MEDICAID | G8945973 |
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