# INTEGRATIVE WELLNESS CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003623745
- **Authorized official:** SHAMAY THOMAS (OWNER)
- **Authorized official phone:** (253) 297-5265

## Contact information

- **Practice address:** 4839 S I ST, TACOMA, WA 98408-3616
- **Practice address phone:** (253) 297-5265
- **Practice address fax:** (253) 321-1036
- **Mailing address:** 4839 S I ST, TACOMA, WA 98408-3616
- **Mailing address phone:** (253) 297-5265
- **Mailing address fax:** (253) 321-1036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2024
- **Last updated:** 11/11/2025