OrganizationActive
Ellensburg Integrative Medicine PLLC
NPI 1649853367 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Ellensburg, WA
Provider details
- NPI number
- 1649853367
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Miggins, Member(206) 409-7100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
304 S Water St Ste 103
Ellensburg, WA 98926-3617
Phone: (509) 925-7246
Approximate (ZIP-level) locationGet directions
Mailing address
304 S Water St Ste 103
Ellensburg, WA 98926-3617
Registry dates
- Enumerated
- 2021-04-30
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.