Phoenix Rising Wellness Center

NPI #1639775174 in Lakewood, Washington

Provider Information

NPI Number: 1639775174
Entity Type: Organization
Organization Name: Phoenix Rising Wellness Center
Subpart: Yes (part of a larger organization)
Parent Organization: PHOENIX RISING WELLNESS CENTER
Primary Specialty: Chiropractor
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 11008 GRAVELLY LAKE DR SW
City: Lakewood
State: Washington
ZIP Code: 98499-1332
Phone: (253) 220-0711

Authorized Official

Name: DR. SHAMIKA CORDIS, DC
Title: OWNER
Phone: (360) 728-0315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Chiropractor	111N00000X	Primary

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