PURE BODYWORK NPI 1104697945

NPI Information

  • NPI: 1104697945
  • Provider Name: PURE BODYWORK
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 2905 STANFORD AVE
    MARINA DEL REY, CA
    ZIP 90292
  • Phone: (310) 396-6800

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NPI Details

PURE BODYWORK is a massage therapist in Marina Del Rey, CA. 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. PURE BODYWORK NPI is 1104697945. The provider is registered as an organization entity type.

The provider's business location address is:

2905 STANFORD AVE
MARINA DEL REY, CA
ZIP 90292-524
Phone: (310) 396-6800

The provider's authorized official is Southida Howard .
The authorized official title is Proprietor and has the following contact phone number (310) 396-6800.

The enumeration date for this NPI number is 1/10/2024 and was last updated on 1/10/2024.

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
1261QH0100XClinic/CenterHealth ServiceNo
2261QP2000XClinic/CenterPhysical TherapyNo
3225700000XMassage 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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