VERT. FITNESS & WELLNESS CENTER, LLC (NPI# 1699330373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699330373 |
| Entity Type | Organization |
| Organization Name | VERT. FITNESS & WELLNESS CENTER, LLC |
| Practice Address |
3945 8th Ave Se Lacey WA 98503 |
| Mailing Address |
3945 8th Ave Se Lacey WA 98503-1101 |
| Practice Telephone | 3609999848 |
| Mailing Telephone | 3609999848 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | TREVOR MARUM (OWNER) |
| Authorized Official Telephone | 3609999848 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5600 Pacific Ave Se, Lacey, WA 985031258 | 3609999848 |
| Street Address |
3945 8TH AVE SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| 1831478718 | Bodywork and Massage Center | Specialist | 1210 Sleater Kinney Road Souteast, Lacey, WA 98503 | 2011-08-10 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710400528 | Christopher Kliem | Chiropractor | 3201 Willamette Dr Ne Ste F, Lacey, WA 98516-1376 | 2017-07-24 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1932469657 | Finesse Chiropractic Ps | Chiropractor | 5401 Corporate Center Loop Se Ste K11, Lacey, WA 98503-5606 | 2012-05-29 |
| 1396039269 | Lee Allen Cousineau | Chiropractor | 2625 Willamette Dr Ne, Lacey, WA 98516-1312 | 2011-06-07 |
| 1407081391 | Nicole Justine Adamson | Chiropractor | 4631 Whitman Lane, Suite B, Lacey, WA 98513 | 2009-05-20 |
| 1689816217 | Aaron C Odd | Chiropractor | 1307 Violet St. Se, Lacey, WA 98503-5710 | 2009-03-27 |
| 1295907442 | Sorem Family Chiropractic | Chiropractor | 4631 Whitman Ln Se, Lacey, WA 98513-2201 | 2008-03-27 |
| 1518144120 | Leva Incorporated | Chiropractor | 4704 Pacific Ave Se, Ste. B, Lacey, WA 98503-1200 | 2008-01-25 |
| 1154504819 | Dr. Crystal Martin, LLC | Chiropractor | 8730 Tallon Ln Ne, Suite 104, Lacey, WA 98516-6609 | 2007-12-17 |
| 1023151933 | Scott W. Tromboni | Chiropractor | 8621 Martin Way E, Ste. 102, Lacey, WA 98516-5855 | 2007-02-14 |
| Find all providers in LACEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.