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BLUESTONE WELLNESS
NPI 1356654636
Clinic/Center - Health Service in University Place, WA

Active since July 15, 2010
8514 49TH ST W, UNIVERSITY PLACE, WA 98467(253) 380-0434 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About BLUESTONE WELLNESS

This page provides the complete NPI Profile along with additional information for Bluestone Wellness, a provider established in University Place, Washington operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1356654636 assigned on July 2010. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Bluestone Wellness. The authorized official of this NPI record is Rachel Antonina Iacobazzi Riecan Lmp (Owner)

NPI
1356654636 Verify this NPI
Provider Legal Name
BLUESTONE WELLNESS PLLC
Other Organization Name
BLUESTONE WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8514 49TH ST W UNIVERSITY PLACE, WA 98467
Location Phone
(253) 380-0434
Mailing Address
9805 NE 116TH ST, PMB# 7238 KIRKLAND, WA 98034
Mailing Phone
(253) 380-0434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2010
Last Update Date
06-04-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHEL ANTONINA IACOBAZZI RIECAN LMP

Authorized Official Title
OWNER
Authorized Official Phone
(253) 380-0434

Reviews for BLUESTONE WELLNESS

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DUSTIN MICHAEL IACOBAZZI RIECAN LMP
Specialist
8514 49TH ST W
UNIVERSITY PLACE, WA 98467
Pierce County (253) 380-0434

Frequently Asked Questions

What is BLUESTONE WELLNESS PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1356654636, enumerated as an "organization" on July 15, 2010.

Where is the provider located?

The provider is located at 8514 49TH ST W UNIVERSITY PLACE, WA 98467 and the phone number is (253) 380-0434.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.