Healthcare Provider Details

I. General information

NPI: 1013357045
Provider Name (Legal Business Name): REKAMUHS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23969 NE STATE ROUTE 3 STE B
BELFAIR WA
98528-9699
US

IV. Provider business mailing address

23969 NE STATE ROUTE 3 STE B
BELFAIR WA
98528-9699
US

V. Phone/Fax

Practice location:
  • Phone: 360-552-2510
  • Fax: 360-552-2511
Mailing address:
  • Phone: 360-552-2510
  • Fax: 360-552-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRANDON ERIC SHUMAKER
Title or Position: OWNER
Credential: DC
Phone: 360-552-2510