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

Phoenix Rising Wellness Center

Organization Chiropractor · NPI 1639775174

Phoenix Rising Wellness Center is a Chiropractor in Lakewood, Washington. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

11008 Gravelly Lake Dr SW
Lakewood, WA 98499-1332
Phone: (253) 220-0711
Fax: (888) 317-8716
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X
Massage Therapist Taxonomy 225700000X

Record details

NPI number1639775174
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Rising Wellness Center
Authorized official Shamika Cordis — Owner · (360) 728-0315
Other names Phoenix Rising Wellness Center Of Lakewood
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address11008 Gravelly Lake Dr Sw, Lakewood, WA 98499-1332

Other providers in Lakewood