Healthcare Provider Details
I. General information
NPI: 1356268833
Provider Name (Legal Business Name): EXPERIENCE WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31 UPPER RAGSDALE DR # 160
MONTEREY CA
93940-7865
US
IV. Provider business mailing address
31 UPPER RAGSDALE DR # 160
MONTEREY CA
93940-7865
US
V. Phone/Fax
- Phone: 206-227-4220
- Fax:
- Phone: 206-227-4220
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SHARON
ADENA
Title or Position: FOUNDER AND EXECUTIVE DIRECTOR
Credential: DAOM, LAC
Phone: 206-227-4220