Organization
LIVING & WELLNESS CENTERS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L HAVSY (OWNER)
(253) 473-2663
Entity
Organization
Contact information
Practice address
3716 PACIFIC AVE, #E, TACOMA, WA 98418
(253) 473-2663
(253) 473-0545
Mailing address
3716 PACIFIC AVE, #E, TACOMA, WA 98418
(253) 473-2663
(253) 473-0545
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
878
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143803
L & I
WA
01
—
6106005600
OWCP
—
Enumeration date
07/20/2006
Last updated
08/22/2020
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