Provider Demographics
NPI:1487959243
Name:ADAMS WELLNESS, PLLC
Entity type:Organization
Organization Name:ADAMS WELLNESS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMT
Authorized Official - Phone:360-536-8092
Mailing Address - Street 1:817 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-4211
Mailing Address - Country:US
Mailing Address - Phone:360-536-8092
Mailing Address - Fax:
Practice Address - Street 1:817 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-4211
Practice Address - Country:US
Practice Address - Phone:360-895-2224
Practice Address - Fax:360-443-2890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty