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NPI Code Detail

MEDICARE: THRIVE INTEGRATIVE HEALTH PLLC

MEDICARE: THRIVE INTEGRATIVE HEALTH PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0800XOrthopedic Chiropractor
2101Y00000XCounselorLF00002543WA
3101YM0800XMental Health Counselor
4133N00000XNutritionist
5225700000XMassage Therapist
6103T00000XPsychologist
7171100000XAcupuncturistAC60434405WA

General Provider Information

NPI Number : 1356704860
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVE INTEGRATIVE HEALTH PLLC
Provider Business Mailing Address
First Line : PO BOX 3057
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-0137
Country : US
Telephone Number : 425-835-2503
Fax Number : 425-285-5436
Provider Business Practice Location Address
First Line : 450 NW GILMAN BLVD STE 201
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2722
Country : US
Telephone Number : 425-835-2503
Fax Number : 425-285-5436
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : MS. ENGRACIA THARP
Credential :
Telephone Number : 425-835-2503
Provider Enumeration Date : 04/01/2016
Last Update Date : 11/02/2025

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Directions to “THRIVE INTEGRATIVE HEALTH PLLC ” Practice Location

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