11:11 Bodyworks, LLC
Massage Therapist in Lacey, WA. Organization (NPI-2).
NPI number1407705890
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1407705890
- Entity type
- Organization (NPI-2)
- Legal business name
- 11:11 Bodyworks, LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2026
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
8120 Freedom Ln Ne Ste 104Lacey, WA 98516-4704
Phone 360-515-0397
Mailing address
8120 Freedom Ln Ne Ste 104Lacey, WA 98516-4704
Phone 360-515-0397
Authorized official
Taycia Lynn Halterman
Owner
3605150397
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