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Organization

SYNERGISTIC WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELSEY R CLEVENGER DC (OWNER)
(360) 764-3327
Entity
Organization

Contact information

Practice address
677 WOODLAND SQUARE LOOP SE STE C6, LACEY, WA 98503-1000
(360) 349-8815
(360) 352-8868
Mailing address
PO BOX 3773, LACEY, WA 98509-3773
(360) 349-8815
(360) 352-8868

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386290898
NPI
WA
Enumeration date
12/01/2025
Last updated
12/01/2025
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