Healthcare Provider Details

I. General information

NPI: 1952057556
Provider Name (Legal Business Name): FLORESH WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23607 HIGHWAY 99 STE 2B
EDMONDS WA
98026-9272
US

IV. Provider business mailing address

23607 HIGHWAY 99 STE 2B
EDMONDS WA
98026-9272
US

V. Phone/Fax

Practice location:
  • Phone: 425-243-9338
  • Fax:
Mailing address:
  • Phone: 425-243-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA DAVIS
Title or Position: PARTNER
Credential:
Phone: 520-838-1600