11:11 WELLNESS LLC NPI 1063254126

NPI Information

  • NPI: 1063254126
  • Provider Name: 11:11 WELLNESS LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 500 W ONONDAGA ST
    SYRACUSE, NY
    ZIP 13204
  • Phone: (315) 475-9164

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NPI Details

11:11 WELLNESS LLC is a massage therapist in Syracuse, NY. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. 11:11 WELLNESS LLC NPI is 1063254126. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 W ONONDAGA ST
SYRACUSE, NY
ZIP 13204-225
Phone: (315) 475-9164

The provider's authorized official is Azariah Z Yemma .
The authorized official title is President and has the following contact phone number (315) 372-6291.

The enumeration date for this NPI number is 6/10/2024 and was last updated on 6/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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