| NPI | 1265701965 |
|---|---|
| Doing Business As | BELLEVUE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RAYMON KOONER Owner 425-455-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WA MD00044383) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2012-05-30 |