Healthcare Provider Details

I. General information

NPI: 1285519306
Provider Name (Legal Business Name): WELLS INTEGRATIVE MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5029 ROOSEVELT WAY NE STE 101A
SEATTLE WA
98105-3697
US

IV. Provider business mailing address

5029 ROOSEVELT WAY NE STE 101A
SEATTLE WA
98105-3697
US

V. Phone/Fax

Practice location:
  • Phone: 206-898-3237
  • Fax: 206-547-3587
Mailing address:
  • Phone: 206-898-3237
  • Fax: 206-547-3587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. NIKOL WELLS
Title or Position: OWNER
Credential: ND, LMT
Phone: 206-898-3237