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WAGNER FAMILY WELLNESS CENTER LLC
NPI 1629377940
Chiropractor in Poulsbo, WA

Active since March 25, 2011
21505 MARKET PL NW, SUITE 102, POULSBO, WA 98370(360) 598-3143(360) 598-4172 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wagner Family Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAGNER FAMILY WELLNESS CENTER LLC (NPI 1629377940) is a healthcare organization registered as a chiropractor in Poulsbo, Washington and active in the NPI registry since March 2011. The organization lists Blake Joseph Wagner, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1629377940
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWAGNER FAMILY WELLNESS CENTER LLC
Location Address21505 MARKET PL NW, SUITE 102Poulsbo, WA 98370-6635
Mailing Address21505 Market Pl Nw, Suite 102Poulsbo, WA 98370-6635 · (360) 598-3143 · Fax (360) 598-4172
Phone(360) 598-3143
Fax(360) 598-4172
Organization SubpartNo
Authorized OfficialBlake Joseph WagnerMember/manager · (360) 598-3143
Enumeration DateMarch 25, 2011
Last NPPES UpdateDecember 29, 2011
✔ NPI 1629377940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00003095
Definition
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.
21505 MARKET PL NW, Poulsbo, WA 98370
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAKE JOSEPH WAGNER D.C.
Chiropractor
21505 MARKET PL NW, SUITE 102
POULSBO, WA 98370
Kitsap County (360) 598-3143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wagner Family Wellness Center LLC's NPI number?

The NPI number for Wagner Family Wellness Center LLC is 1629377940. It was assigned to this organization in the NPPES registry on March 25, 2011.

Where is Wagner Family Wellness Center LLC located?

Wagner Family Wellness Center LLC is located at 21505 Market Pl NW Suite 102, Poulsbo, WA 98370. The listed phone number is (360) 598-3143.

What is Wagner Family Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Wagner Family Wellness Center LLC was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.