Living Well Pain Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LIVING WELL PAIN CENTER

Doing business as

Accident Rehabilitation Center

Practice address

3721 116TH St NE
Marysville, WA 98271-8428

Phone

(360) 805-8252

Fax

(360) 805-8052

NPI assigned

Jun 21, 2018

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vickie Wedlock

Title

Billing

Phone

(206) 261-8355

Specialties & licenses 1

Addresses

Other names 1

• Accident Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1417441510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 116TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718428",
            "telephone_number": "360-805-8252",
            "fax_number": "360-805-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 116TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718428",
            "telephone_number": "360-805-8252",
            "fax_number": "360-805-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WEDLOCK",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "206-261-8355"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accident Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deja Link, PA-C
• Alana D Little, SUDPT
• Jacqueline Jiayuan Liu, PHARMD
• Jessie Li-Wei Liu, O.D.
• Xuan Liu, PT
• Sarah Marie Lockwood
• Kateri Tekakwitha Loe
• Mark A Loesell, RPH
• Rochelle Roxanne Long, MR LMHC CDP
• Ashley Arlene Loomis, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.