Healthcare Provider Details

I. General information

NPI: 1881500957
Provider Name (Legal Business Name): RIVER & ROOT INTEGRATIVE WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 COLLEGE ST SE STE A
LACEY WA
98503-2303
US

IV. Provider business mailing address

2112 MYRTLE PL SE
OLYMPIA WA
98501-3143
US

V. Phone/Fax

Practice location:
  • Phone: 520-561-7599
  • Fax:
Mailing address:
  • Phone: 520-561-7599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. CHRISTINA KRESSIN
Title or Position: BSN, RN, IBCLC
Credential: RN
Phone: 630-918-2850