Healthcare Provider Details

I. General information

NPI: 1437064011
Provider Name (Legal Business Name): WX WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4844 186TH ST
FLUSHING NY
11365-1109
US

IV. Provider business mailing address

4844 186TH ST
FLUSHING NY
11365-1109
US

V. Phone/Fax

Practice location:
  • Phone: 718-869-3607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: XIAODONG WANG
Title or Position: PRESIDENT
Credential:
Phone: 718-869-3607