Healthcare Provider Details

I. General information

NPI: 1326846643
Provider Name (Legal Business Name): WHOLE HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14108 MERIDIAN E
PUYALLUP WA
98373-5617
US

IV. Provider business mailing address

14108 MERIDIAN E
PUYALLUP WA
98373-5617
US

V. Phone/Fax

Practice location:
  • Phone: 253-306-2881
  • Fax:
Mailing address:
  • Phone: 253-306-2881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHANNON DAVIS
Title or Position: OWNER
Credential:
Phone: 253-306-2881