Healthcare Provider Details

I. General information

NPI: 1437078383
Provider Name (Legal Business Name): WELLNESS WORKFORCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12901 28TH PL NE STE 5
LAKE STEVENS WA
98258-9230
US

IV. Provider business mailing address

6628 77TH PL NE
MARYSVILLE WA
98270-3351
US

V. Phone/Fax

Practice location:
  • Phone: 425-535-2905
  • Fax:
Mailing address:
  • Phone: 425-535-2905
  • 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: MS. BRE NICOLE JORDON
Title or Position: OWNER
Credential: LMT
Phone: 425-535-2905