Healthcare Provider Details

I. General information

NPI: 1043122732
Provider Name (Legal Business Name): LIFE MOVES BODY WORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 W 72ND ST REAR LOBBY
NEW YORK NY
10023-3316
US

IV. Provider business mailing address

118 W 72ND ST REAR LOBBY
NEW YORK NY
10023-3316
US

V. Phone/Fax

Practice location:
  • Phone: 917-647-5579
  • 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: CRYSTAL SEAMAN
Title or Position: OWNER
Credential: LMT
Phone: 917-648-7283