Healthcare Provider Details

I. General information

NPI: 1912869413
Provider Name (Legal Business Name): ASH & EMBER MASSAGE AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 WOODLAND SQUARE LOOP SE STE B2
LACEY WA
98503-1000
US

IV. Provider business mailing address

5711 39TH AVE SE
LACEY WA
98503-7131
US

V. Phone/Fax

Practice location:
  • Phone: 360-870-5312
  • Fax:
Mailing address:
  • Phone: 360-870-5312
  • 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: PHOENIX NORFLEET
Title or Position: OWNER
Credential: LMT
Phone: 360-515-1876