# ORGANIC LIFE BODY WORKS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Life Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124465943
- **Authorized official:** MRS. STEPHANIE LIGHTFOOT (CEO)
- **Authorized official phone:** (301) 490-0603

## Contact information

- **Practice address:** 8600 FOUNDRY ST, SAVAGE, MD 20763-9512
- **Practice address phone:** (301) 490-0603
- **Practice address fax:** (301) 490-0603
- **Mailing address:** 8600 FOUNDRY ST, PO BOX 2014, SAVAGE, MD 20763-9512
- **Mailing address phone:** (301) 490-0603
- **Mailing address fax:** (301) 490-0603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | — | Yes |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013