Provider Demographics
NPI:1013607456
Name:ADIO LLC
Entity Type:Organization
Organization Name:ADIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVERY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMPAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-259-7637
Mailing Address - Street 1:8825 TALLON LN NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-6607
Mailing Address - Country:US
Mailing Address - Phone:360-489-0973
Mailing Address - Fax:360-489-0983
Practice Address - Street 1:8825 TALLON LN NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-6607
Practice Address - Country:US
Practice Address - Phone:360-489-0973
Practice Address - Fax:360-489-0983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty