OrganizationActive
Fitness Recovery Room LLC
NPI 1013453554 · Clinic/Center · Lacey, WA
Provider details
- NPI number
- 1013453554
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamil Ellinger, Owner/Registered Agent(360) 951-4893
- License
- 603440613 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8830 Tallon Ln Ne
F
Lacey, WA 98516-6656
Phone: (360) 819-2877
Street-level locationGet directions
Mailing address
8830 Tallon Ln Ne
Lacey, WA 98516-6656
Other names (DBA / former)
- Doing business as
- Hawks Prairie Massage Clinic
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2017-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.