Healthcare Provider Details

I. General information

NPI: 1992624050
Provider Name (Legal Business Name): MINDFUL BODYWORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 S PERRY ST
SPOKANE WA
99202-3465
US

IV. Provider business mailing address

5819 S ZABO RD
SPOKANE WA
99224-6217
US

V. Phone/Fax

Practice location:
  • Phone: 509-294-5512
  • Fax:
Mailing address:
  • Phone: 509-294-5512
  • 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: JENNA LEE KAUFMANN
Title or Position: OWNER
Credential: LMT
Phone: 509-294-5512