Provider Demographics
NPI:1902273477
Name:ALL WAYS WELL, LLC
Entity Type:Organization
Organization Name:ALL WAYS WELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:MAYRE HURWOOD
Authorized Official - Last Name:KITZEROW
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:360-952-3074
Mailing Address - Street 1:419 E CEDAR AVE STE A05
Mailing Address - Street 2:
Mailing Address - City:LA CENTER
Mailing Address - State:WA
Mailing Address - Zip Code:98629-5480
Mailing Address - Country:US
Mailing Address - Phone:360-952-3074
Mailing Address - Fax:360-952-3074
Practice Address - Street 1:419 E CEDAR AVE STE A205
Practice Address - Street 2:
Practice Address - City:LA CENTER
Practice Address - State:WA
Practice Address - Zip Code:98629-5482
Practice Address - Country:US
Practice Address - Phone:360-952-3074
Practice Address - Fax:360-952-3074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01021171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty