Provider Demographics
NPI:1770450587
Name:SUNRISE WELLNESS: CHIROPRACTIC, MASSAGE & SPA
Entity type:Organization
Organization Name:SUNRISE WELLNESS: CHIROPRACTIC, MASSAGE & SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRIA
Authorized Official - Middle Name:LYN LOVE
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-888-1099
Mailing Address - Street 1:123 OHME GARDEN ROAD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-888-1099
Mailing Address - Fax:509-888-2068
Practice Address - Street 1:123 OHME GARDEN RD.
Practice Address - Street 2:SUITE #3
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801
Practice Address - Country:US
Practice Address - Phone:509-888-1099
Practice Address - Fax:509-888-2068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty