| Organization Name: | THE HEALTH AND WELLNESS CLINIC PLLC |
| NPI Number: | 1033388772 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER LEE RICKER (CHIROPRACTOR/OWNER) |
| Mailing Address: | 21920 76th Ave W Suite 130 Edmonds |
| State: | WA US |
| Postal Code: | 980267980 |
| Phone Number: | 4257763800 |
| Fax Number: | 4257763844 |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | CH00034858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |