Ethan Jett Wilmovsky, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

61662847 Issued in WA

Practice address

2627 Capital Mall Dr SW # B-3a
Olympia, WA 98502-8696

Phone

(360) 786-6322

NPI assigned

Feb 17, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1730984303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 DENNIS ST SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015527",
            "telephone_number": "360-481-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CAPITAL MALL DR SW # B-3A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028696",
            "telephone_number": "360-786-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOVSKY",
        "first_name": "ETHAN",
        "middle_name": "JETT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61662847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Willius, D.O.
• Jamie Willoughby, DVM
• Crystal Page Wilmot, MSN, APRN, NP-C
• Molly Wilmoth
• Brian L Wilmovsky, D.C.
• Ashley Lauren Wilson
• Bena Wilson
• Britni Jean Wilson
• Callie Wilson, ARNP
• Deirdre Lynne Wilson, ED.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.