Healthcare Provider Details

I. General information

NPI: 1770450587
Provider Name (Legal Business Name): SUNRISE WELLNESS CHIROPRACTIC MASSAGE & SPA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 OHME GARDEN RD. SUITE #3
WENATCHEE WA
98801
US

IV. Provider business mailing address

123 OHME GARDEN RD STE 3
WENATCHEE WA
98801-4500
US

V. Phone/Fax

Practice location:
  • Phone: 509-888-1099
  • Fax: 509-888-2068
Mailing address:
  • Phone: 509-888-1099
  • Fax: 509-888-2068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANDRIA LYN LOVE GOFF
Title or Position: OWNER
Credential:
Phone: 509-888-1099