OrganizationActive
Axis Spine LLC
NPI 1134948458 · Medical Specialty Clinic/Center · Puyallup, WA
Provider details
- NPI number
- 1134948458
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Nwosu, Spine Surgeon(909) 659-1852
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1519 3rd St Se Ste 101
Puyallup, WA 98372-3742
Phone: (909) 659-1852
Approximate (ZIP-level) locationGet directions
Mailing address
1101 N 39th Ct
Renton, WA 98056-1624
Registry dates
- Enumerated
- 2024-10-03
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.