Provider Demographics
NPI:1083053136
Name:COVINGTON FAMILY WELLNESS INC
Entity Type:Organization
Organization Name:COVINGTON FAMILY WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TREYE
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:HOVINGA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-639-9822
Mailing Address - Street 1:17039 SE 272ND ST
Mailing Address - Street 2:STE 104
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-7348
Mailing Address - Country:US
Mailing Address - Phone:253-639-9822
Mailing Address - Fax:
Practice Address - Street 1:17039 SE 272ND ST
Practice Address - Street 2:STE 104
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-7348
Practice Address - Country:US
Practice Address - Phone:253-639-9822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty