1. Home
  2. Directory
  3. Washington
  4. Puyallup
  5. General Practice
  6. NPI Profile

PUYALLUP REGENERATIVE MEDICINE, PLLC
NPI 1740872944
General Practice in Puyallup, WA

Active since February 09, 2021
1410 S MERIDIAN STE A, PUYALLUP, WA 98371(253) 841-4425(253) 445-5712 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2021, Feb 9, 2021 (2 updates tracked since 2021).

About Puyallup Regenerative Medicine, Pllc NPPES

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

PUYALLUP REGENERATIVE MEDICINE, PLLC (NPI 1740872944) is a healthcare organization registered as a general practice in Puyallup, Washington and active in the NPI registry since February 2021. The organization lists Michael Lee Church, President, as its authorized official.

NPPES Registry Identity

NPI1740872944
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePUYALLUP REGENERATIVE MEDICINE, PLLC
Location Address1410 S MERIDIAN STE APuyallup, WA 98371-6902
Mailing AddressPo Box 1272Sumner, WA 98390-0250 · (253) 841-4425 · Fax (253) 445-5712
Phone(253) 841-4425
Fax(253) 445-5712
Organization SubpartNo
Authorized OfficialMichael Lee ChurchPresident · (253) 332-3628
Enumeration DateFebruary 9, 2021
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1740872944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1410 S MERIDIAN STE A, Puyallup, WA 98371
Open in Google Maps ↗

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

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 Puyallup Regenerative Medicine, PLLC's NPI number?

The NPI number for Puyallup Regenerative Medicine, PLLC is 1740872944. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Puyallup Regenerative Medicine, PLLC located?

Puyallup Regenerative Medicine, PLLC is located at 1410 S Meridian Ste A, Puyallup, WA 98371. The listed phone number is (253) 841-4425.

What is Puyallup Regenerative Medicine, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Puyallup Regenerative Medicine, PLLC was last updated on April 28, 2021. 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.