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PHOENIX RISING WELLNESS CENTER
NPI 1639775174
Chiropractor in Lakewood, WA

Active since December 09, 2020
11008 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(253) 220-0711(888) 317-8716 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Rising Wellness Center NPPES

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

PHOENIX RISING WELLNESS CENTER (NPI 1639775174) is a healthcare organization registered as a chiropractor in Lakewood, Washington and active in the NPI registry since December 2020. The organization lists Shamika Cordis, Owner, as its authorized official.

NPPES Registry Identity

NPI1639775174
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePHOENIX RISING WELLNESS CENTER
Location Address11008 GRAVELLY LAKE DR SWLakewood, WA 98499-1332
Mailing Address11008 Gravelly Lake Dr SwLakewood, WA 98499-1332 · (253) 220-0711 · Fax (888) 317-8716
Phone(253) 220-0711
Fax(888) 317-8716
Organization SubpartYes
Authorized OfficialShamika CordisOwner · (360) 728-0315
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1639775174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
Also ListedMassage TherapistTaxonomy 225700000X
11008 GRAVELLY LAKE DR SW, Lakewood, WA 98499
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Other Names 1

Other NamePhoenix Rising Wellness Center Of Lakewood

Other Identifiers 1

OtherCH605050789Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

CLYDE O MCDADE LMT
Massage Therapist
11008 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (360) 763-9439

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 Phoenix Rising Wellness Center's NPI number?

The NPI number for Phoenix Rising Wellness Center is 1639775174. It was assigned to this organization in the NPPES registry on December 9, 2020. The provider is also known as Phoenix Rising Wellness Center of Lakewood.

Where is Phoenix Rising Wellness Center located?

Phoenix Rising Wellness Center is located at 11008 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (253) 220-0711.

What is Phoenix Rising Wellness Center'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 Phoenix Rising Wellness Center was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.