Elite Performance Wellness Center Llc is a
Kinesiotherapist based in Corvallis, Oregon. Elite Performance Wellness Center Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
33864 Se Eastgate Cir, Corvallis, Oregon. It can be reached at their office (for appointments etc.) via phone at
(541) 961-8170.
NPI number for Elite Performance Wellness Center Llc is 1598302333 and their current mailing address is 39687 Griggs Dr, Lebanon, Oregon. Elite Performance Wellness Center Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1598302333.
Healthcare Provider's Profile
Full Name | Elite Performance Wellness Center Llc |
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Type | Facility |
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Speciality | Kinesiotherapist |
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Location | 33864 Se Eastgate Cir, Corvallis, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598302333
- Provider Enumeration Date: 11/27/2019
- Last Update Date: 08/29/2025
Medical Identifiers
Medical identifiers for Elite Performance Wellness Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598302333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
226300000X | Kinesiotherapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elite Performance Wellness Center Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elite Performance Wellness Center Llc 39687 Griggs Dr, Lebanon, OR 97355-9476 Ph: (541) 961-8170 | Elite Performance Wellness Center Llc 33864 Se Eastgate Cir, Corvallis, OR 97333-2248 Ph: (541) 961-8170 |
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