Healthcare Provider Details

I. General information

NPI: 1255248654
Provider Name (Legal Business Name): LEVITAS CHIROPRACTIC WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23700 EDMONDS WAY
EDMONDS WA
98026-8978
US

IV. Provider business mailing address

23700 EDMONDS WAY
EDMONDS WA
98026-8978
US

V. Phone/Fax

Practice location:
  • Phone: 563-370-7857
  • Fax:
Mailing address:
  • Phone: 563-370-7857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KILBO YUN
Title or Position: OWNER
Credential: D.C.
Phone: 425-871-1083