Western Washington Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WESTERN WASHINGTON WELLNESS LLC

Doing business as

Island Wellness

Practice address

7605 SE 27TH St
Suite 103
Mercer Island, WA 98040-2835

Phone

(206) 275-4870

NPI assigned

Apr 28, 2014

Last updated

Aug 26, 2014By 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

Dr. Jeffrey David Stetson

Title

Chiropractor

Phone

(206) 275-4870

Specialties & licenses 1

Addresses

Other names 1

• ISLAND WELLNESS Doing business as

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1871903062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST",
            "address_2": "SUITE 103",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST",
            "address_2": "SUITE 103",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402835",
            "telephone_number": "206-275-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WASHINGTON WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "STETSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "206-275-4870",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISLAND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Wyatt
• Katherine Aviva Wynn, LSWAIC

• Chiropractor in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.