Kula Chiropractic Sports & Wellness Center, Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH60202833 Issued in WA

Legal business name

KULA CHIROPRACTIC SPORTS & WELLNESS CENTER, INC

Doing business as

Kula Chiropractic Sports & Wellness

Practice address

320 E Jewett Blvd
White Salmon, WA 98672-3002

Phone

(509) 493-4000

Fax

(509) 493-4001

NPI assigned

Mar 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Katie J. Kula, DCNPI 1790004141

Title

Chiropractic Physician/Owner

Phone

(217) 303-2141

Specialties & licenses 2

Addresses

Other names 1

• Kula Chiropractic Sports & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 6

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

• Katie Jolaine Kula, D.C.

  • Chiropractor
  • White Salmon, WA
  • NPI 1790004141
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Kula, D.C.

  • Chiropractor
  • Federal Way, WA
  • NPI 1750686846
  Medicare reassignment Care Compare group NPD
• Isaias Zerufael, DC

  • Chiropractor
  • White Salmon, WA
  • NPI 1952015729
  Medicare reassignment Care Compare group NPD
• Douglas Arthur Barnard I, D.C

  • Chiropractor
  • White Salmon, WA
  • NPI 1710064423
  NPD (past)
• Lori Wallace Johnson, LMP LMT

  • Massage Therapist
  • White Solmon, WA
  • NPI 1881716660
  NPD (past)
• C Thomas Provenzano, MPT

  • Physical Therapist
  • Portland, OR
  • NPI 1548241995
  NPD (past)

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1912390113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1759",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721759",
            "telephone_number": "509-493-4000",
            "fax_number": "509-493-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E JEWETT BLVD",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986723002",
            "telephone_number": "509-493-4000",
            "fax_number": "509-493-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULA CHIROPRACTIC SPORTS & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "KULA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "217-303-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60202833",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60202314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kula Chiropractic Sports & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kula Chiropractic Sports & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Kepner, PHD
• Nika Kermani
• Klickitat Co Public Hospital Dist #2 (Skylinc Clinic)
• Leslie Knight
• Steven J Koontz, P.A.
• Katie Jolaine Kula, D.C.
• Kallie Kurtz, MSW, LCSW, LICSW
• Roy Allen Laberge, MD
• Little Mountain Occupational Therapy, LLC
• David Sheffield Martin Jr., MSOM, EAMP, LAC.

• Sports Physician Chiropractor in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.