Living Well Chiropractic, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00025252 Issued in WA

Legal business name

LIVING WELL CHIROPRACTIC, INC

Practice address

1412 E Yelm Ave # C101
Yelm, WA 98597-8663

Phone

(360) 458-7533

NPI assigned

May 5, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal Gomez

Title

LMP

Phone

(360) 458-7533

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1063822690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 E YELM AVE # C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978663",
            "telephone_number": "360-458-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 E YELM AVE # C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978663",
            "telephone_number": "360-458-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "360-458-7533"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00025252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesh, DMD PLLC
• Matthew Eldon Lesh, DMD
• Tzi-Qing Liew
• Dean V Linville, R.PH
• Living Well Chiropractic Inc. PC.
• Julie Lobrie, LMP
• Caitlyn Long, DPT
• Gary D Longshore, D.C.
• Joanna Lopez, DPT
• Lopaka Thanh Son Los Banos

• Specialist in Yelm, WA
• Providers in Yelm, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.