Provider Demographics
NPI:1285519306
Name:WELLS INTEGRATIVE MEDICINE, LLC
Entity type:Organization
Organization Name:WELLS INTEGRATIVE MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKOL
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LMT
Authorized Official - Phone:206-898-3237
Mailing Address - Street 1:5029 ROOSEVELT WAY NE STE 101A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3697
Mailing Address - Country:US
Mailing Address - Phone:206-898-3237
Mailing Address - Fax:206-547-3587
Practice Address - Street 1:5029 ROOSEVELT WAY NE STE 101A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3697
Practice Address - Country:US
Practice Address - Phone:206-898-3237
Practice Address - Fax:206-547-3587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty