| NPI | 1639775174 |
|---|---|
| Other Name | PHOENIX RISING WELLNESS CENTER OF LAKEWOOD |
| Entity Type | Organization |
| Authorized Contact | SHAMIKA CORDIS Owner 360-728-0315 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |