# INNER WISDOM BODYWORK PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inner Wisdom Acupuncture and Herbal Medicine, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346990785
- **Authorized official:** JESSICA GALLEGOS-WHITE LAC., LMT (OWNER)
- **Authorized official phone:** (360) 990-8877

## Contact information

- **Practice address:** 1140 BETHEL RD. SE, SUITE 110, PORT ORCHARD, WA 98366
- **Practice address phone:** (360) 443-6508
- **Practice address fax:** (360) 397-0364
- **Mailing address:** 340 TREMONT ST, PORT ORCHARD, WA 98366-3734
- **Mailing address phone:** (360) 990-8877
- **Mailing address fax:** (360) 397-0364

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 03/28/2022