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General NPI Number Information
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NPI Number | 1437078383
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Entity Type | Organization
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Legal Business Name | WELLNESS WORKFORCE LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 12901 28TH PL NE STE 5
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City | LAKE STEVENS
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State | WA
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Zip | 98258-9230
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Country | US
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Telephone | 425-535-2905
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Fax |
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Provider Business Mailing Address
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Address Line | 6628 77TH PL NE
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City | MARYSVILLE
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State | WA
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Zip | 98270-3351
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Country | US
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Telephone | 425-535-2905
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BRE NICOLE JORDON
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Credential | LMT
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Telephone | 425-535-2905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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