Living Well Pain Clinics PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034750 Issued in WA

Legal business name

LIVING WELL PAIN CLINICS PLLC

Practice address

19265 State Route 2
Ste 200a
Monroe, WA 98272-1522

Phone

(206) 842-4929

NPI assigned

Sep 8, 2014

Last updated

Sep 30, 2015By 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

Biller / Office Manager

Phone

(206) 842-4929

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie J Halm, LMT

  • Massage Therapist
  • Bainbridge Island, WA
  • NPI 1346746674
  NPD (past)
• Brian Kovara, D.C.

  • Chiropractor
  • Bainbridge Island, WA
  • NPI 1942237102
  NPD (past)
• Mackenzie S Rivers, LMT

  • Massage Therapist
  • Bainbridge Island, WA
  • NPI 1457881286
  NPD (past)

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1740681857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19265 STATE ROUTE 2",
            "address_2": "STE 200A",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19265 STATE ROUTE 2",
            "address_2": "STE 200A",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721522",
            "telephone_number": "206-842-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PAIN CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "WEDLOCK",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "BILLER / OFFICE MANAGER",
        "authorized_official_telephone_number": "206-842-4929"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phami Lieu, RDH
• Rachel Amanda Lim, MD
• Kenneth C Lin, M.D.
• Linda Backenstose PS Inc
• Living Well Health Center, LLC
• Amanda Loesche, PHARMD
• Chelsea Rose Lokey, LMP
• Melanie L Long, CPCC
• Cristina Louk, PHD
• Donna Lynne Love, PTA, CCI

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.