# ELLENSBURG INTEGRATIVE MEDICINE PLLC

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

## Provider details

- **NPI number:** 1649853367
- **Authorized official:** DR. LARRY MIGGINS DC (MEMBER)
- **Authorized official phone:** (206) 409-7100

## Contact information

- **Practice address:** 304 S WATER ST STE 103, ELLENSBURG, WA 98926-3617
- **Practice address phone:** (509) 925-7246
- **Mailing address:** 304 S WATER ST STE 103, ELLENSBURG, WA 98926-3617
- **Mailing address phone:** (509) 925-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 04/30/2021