| Pacific Wellness And Spa Inc | |
|
4114 Bridgeport Way W, University Place, WA 98466 | |
| (253) 564-8100 | |
| (253) 564-8387 |
| Full Name | Pacific Wellness And Spa Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 4114 Bridgeport Way W, University Place, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437356201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | CO5411 (Washington) | Primary |
| Provider Name | Edward D Corley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821151820 PECOS PAC ID: 6002990728 Enrollment ID: I20080219000776 |
| Provider Name | Annette Garza |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164493953 PECOS PAC ID: 2365472297 Enrollment ID: I20150319002675 |
| Provider Name | Nathaniel Eli Otto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669862629 PECOS PAC ID: 6507187614 Enrollment ID: I20150602000028 |
| Provider Name | Robert Michael Grimmer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700200268 PECOS PAC ID: 0648588624 Enrollment ID: I20150925000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Wellness And Spa Inc 4114 Bridgeport Way W, University Place, WA 98466 Ph: (253) 564-8100 | Pacific Wellness And Spa Inc 4114 Bridgeport Way W, University Place, WA 98466 Ph: (253) 564-8100 |
Seth Jacob Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7121 27th St W, University Place, WA 98466 Phone: 253-566-4744 Fax: 253-566-6744 | |
Dr. Shane D. Boucher, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 7307 40th St W Ste B, University Place, WA 98466 Phone: 253-753-6204 | |
Dr. Thomas Michael Williams, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2607 Bridgeport Way W Ste 1d, University Place, WA 98466 Phone: 253-564-6747 | |
Pearl Chiropractic, P S Chiropractor Medicare: Medicare Enrolled Practice Location: 7025 27th St W Ste 1, University Place, WA 98466 Phone: 253-970-5077 Fax: 253-327-1296 | |
Dr. Mattheu Owen Williams, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2607 Bridgeport Way W Ste 1d, University Place, WA 98466 Phone: 253-566-2225 | |
Bayside Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7307 40th St W Ste B, University Place, WA 98466 Phone: 253-753-6204 |