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ADVANCED WELLNESS & REHABILITATION PLLC NPI 1700390267


NPI Information

NPI: 1700390267
Provider Name: ADVANCED WELLNESS & REHABILITATION PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10513 SILVERDALE WAY NW STE 102
SILVERDALE, WA
ZIP 98383
Phone: (360) 698-4411
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ADVANCED WELLNESS & REHABILITATION PLLC is a chiropractor in Silverdale, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ADVANCED WELLNESS & REHABILITATION PLLC NPI is 1700390267. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10513 SILVERDALE WAY NW STE 102
SILVERDALE, WA
ZIP 98383-499
Phone: (360) 698-4411

The provider's authorized official is Darlene S Trebibski .
The authorized official title is Office Manager and has the following contact phone number (360) 698-4411.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 11/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC0005183762WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G8912636MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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