Healthcare Provider Details

I. General information

NPI: 1548191224
Provider Name (Legal Business Name): BALANCE & BLOOM BODYWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S PARKWAY AVE
BATTLE GROUND WA
98604-9294
US

IV. Provider business mailing address

2502 NW 8TH ST
BATTLE GROUND WA
98604-4429
US

V. Phone/Fax

Practice location:
  • Phone: 360-687-1781
  • Fax:
Mailing address:
  • Phone: 360-687-1781
  • 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: STEFANIE BRIGGS
Title or Position: MASSAGE THERAPIST
Credential: LMT
Phone: 360-281-0215