Provider Demographics
NPI:1932906013
Name:ATOMIC WELLNESS
Entity type:Organization
Organization Name:ATOMIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAINES
Authorized Official - Suffix:
Authorized Official - Credentials:DCNP
Authorized Official - Phone:509-233-7546
Mailing Address - Street 1:9221 SANDIFUR PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-9241
Mailing Address - Country:US
Mailing Address - Phone:509-233-7546
Mailing Address - Fax:509-795-3508
Practice Address - Street 1:9221 SANDIFUR PKWY STE A
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9241
Practice Address - Country:US
Practice Address - Phone:509-233-7546
Practice Address - Fax:509-795-3508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty