Kelsey R Clevenger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61117367 Issued in WA

Practice address

677 Woodland SQ Loop SE
Ste 6
Lacey, WA 98503

Phone

(360) 349-8815

Fax

(360) 352-8868

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kelsey R Blunt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Synergistic Wellness, LLC

  • Chiropractor
  • Lacey, WA
  • NPI 1447112271
  NPD Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1386290898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE STE 6",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "360-349-8815",
            "fax_number": "360-352-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQ LOOP SE",
            "address_2": "STE 6",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-349-8815",
            "fax_number": "360-352-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "KELSEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61117367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BLUNT",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarus Optical, LLC
• Mark Justin Clary, LMP
• Kayla Marie Clauson, ATC
• Emily C Clay, M.D.
• Renee Cheree Claybon, ARNP
• Coast Spine and Sports Medicine PLLC
• Kristin Dawn Cochran
• Darcel Cody
• Shalisha Colby
• Katie Cole

• Chiropractor in Lacey, WA
• Providers in Lacey, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.