Natural Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034631 Issued in WA

Legal business name

NATURAL WELLNESS PLLC

Practice address

448 Sussex Ave E
#3
Tenino, WA 98589-8703

Phone

(360) 264-5999

Fax

(369) 264-5999

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Bradley Ellisor, D.C.

Title

Sole MBR

Phone

(360) 481-0300

Specialties & licenses 1

Addresses

Other names 1

• Tenino Chiropractic & Natural Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Brad E. Ellisor, DC

  • Chiropractor
  • Tenino, WA
  • NPI 1538333182
  Medicare reassignment NPD
• Peggy Ann Vittoria, LMP

  • Massage Therapist
  • Tenino, WA
  • NPI 1154584472
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1831458124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985890014",
            "telephone_number": "360-481-0300",
            "fax_number": "360-264-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 SUSSEX AVE E",
            "address_2": "#3",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985898703",
            "telephone_number": "360-264-5999",
            "fax_number": "369-264-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ELLISOR",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "360-481-0300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tenino Chiropractic & Natural Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Massage Therapy by Magic Inc
• Morgan Taylor Masters
• Ashley A Mbabazi, OT/L
• Margaret McEwen
• Rose Maria Morton, LMP
• Christopher Page, LMP
• Andrea Palazzolo, CCC-SLP
• R & D Coulson Inc.
• Martha Flittie Reid
• Jessyka Alexis-Marie Ritzman

• All providers in Tenino, WA
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.