NPI 1063254126 · live from the CMS NPI Registry
11:11 Wellness LLC
Massage Therapist in Syracuse, NY. National Provider Identifier 1063254126, active.
NPI record
| NPI | 1063254126 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 500 W Onondaga St, Syracuse, NY 13204 |
| Practice phone | 315-475-9164 |
| Enumerated | June 10, 2024 |
| Last updated | June 10, 2024 |
| Authorized official | Azariah Yemma, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.