Healthcare Provider Details

I. General information

NPI: 1205754801
Provider Name (Legal Business Name): DANIKA IRELAND WERNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 COOPER POINT RD SW STE 24A
OLYMPIA WA
98502-1039
US

IV. Provider business mailing address

335 OLEQUA HEIGHTS RD
CASTLE ROCK WA
98611-8944
US

V. Phone/Fax

Practice location:
  • Phone: 360-943-7360
  • Fax:
Mailing address:
  • Phone: 360-890-9611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70092078
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: