Synergistic Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SYNERGISTIC WELLNESS, LLC

Practice address

677 Woodland Square Loop SE Ste C6
Lacey, WA 98503-1000

Phone

(360) 349-8815

Fax

(360) 352-8868

NPI assigned

Dec 1, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kelsey R Clevenger, DCNPI 1386290898

Title

Owner

Phone

(360) 764-3327

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey R Clevenger, DC

  • Chiropractor
  • Lacey, WA
  • NPI 1386290898
  NPD Authorized official

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1447112271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3773",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985093773",
            "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 SQUARE LOOP SE STE C6",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "360-349-8815",
            "fax_number": "360-352-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGISTIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-764-3327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386290898",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sweet Life Wellness Direct Primary Care, LLC
• Sweet Medical Group, PLLC
• Bethany M Sweet, M.D.
• Ryan James Sweet, DC
• Brent Swift, L.AC.
• Laura Franciszka Szkudlarek, LMT
• Reza Tahernia, D.M.D.
• Deotila Lucas Takulyabwani
• Lois N Talotta, LMP
• Jie Tang

• 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.