Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellensburg Integrative Medicine PLLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1649853367

Ellensburg Integrative Medicine PLLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Ellensburg, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

304 S Water St Ste 103
Ellensburg, WA 98926-3617
Phone: (509) 925-7246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1649853367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Miggins — Member · (206) 409-7100
NPI enumeratedApril 30, 2021
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021
Mailing address304 S Water St Ste 103, Ellensburg, WA 98926-3617