MINDBODY MEDICINE PC NPI 1255838298

NPI Information

  • NPI: 1255838298
  • Provider Name: MINDBODY MEDICINE PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: WEDGWOOD CENTER FOR NATURAL MEDICINE
  • Address: 2705 NE 65TH ST
    SEATTLE, WA
    ZIP 98115
  • Phone: (206) 523-9000

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NPI Details

MINDBODY MEDICINE PC is a chiropractor in Seattle, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MINDBODY MEDICINE PC NPI is 1255838298. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wedgwood Center For Natural Medicine.

The provider's business location address is:

2705 NE 65TH ST
SEATTLE, WA
ZIP 98115-129
Phone: (206) 523-9000
Fax: (206) 523-5566

The provider's authorized official is John Richard Chevigny .
The authorized official title is Clinic Director and has the following contact phone number (206) 523-9000.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports PhysicianCH60522163WASHINGTONNo
2111NR0400XChiropractorRehabilitationCH60522163WASHINGTONNo
3171100000XAcupuncturistNo
4225700000XMassage TherapistNo
5111N00000XChiropractorCH60522163WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669860052OTHERWASHINGTONNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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